Leo D Prevost in Fort Bragg - Internal Medicine

Leo D Prevost - NPI 1104912567

Leo D Prevost is a Internal Medicine in Fort Bragg, North Carolina. Leo D Prevost practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Leo D Prevost is 1104912567. The last update date is 2007-07-08.

Leo D Prevost's current location address is 2817 Reilly Road, Fort Bragg, North Carolina. You can contact this provider via phone number 9109078922 and fax number 9109076069. The mailing address for Leo D Prevost is 2817 Reilly Road, Fort Bragg, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Leo D Prevost
Address 2817 Reilly Road, Fort Bragg, North Carolina
Phone Number 9109078922
Fax Number 9109076069
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104912567
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2817 Reilly Road
City Fort Bragg
State North Carolina (NC)
Post Code 28310
Phone Number 9109078922
Fax Number 9109076069

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 27507
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Leo D Prevost

What is the unique 10-digit identification code assigned to Leo D Prevost by the Centers for Medicare & Medicaid Services?

The Leo D Prevost has been issued the NPI (National Provider Identifier) 1104912567, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Leo D Prevost?

The Leo D Prevost is physically situated at 2817 Reilly Road, in the city of Fort Bragg, state of NC, with the postal code 28310.

What is Leo D Prevost's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Leo D Prevost is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104912567 to Leo D Prevost?

The Centers for Medicare & Medicaid Services assigned the 1104912567 to Leo D Prevost on 2006-10-05.

As of what date was the information pertaining to Leo D Prevost, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Leo D Prevost, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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