Leocadio B Penalosa Jr
NPI #1487721445 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1487721445
- Entity Type
- Organization
- Organization Name
- Leocadio B Penalosa Jr
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 301 GOODE WAY
- Address 2
- STE 204
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704
- Phone
- (757) 397-5301
Authorized Official
- Name
- DR. LEOCADIO B PENALOSA JR., MD
- Title
- PHYSICIAN OWNER
- Phone
- (757) 397-5301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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