Whalio Doctors

NPI 1013902907

Stuart S Leicht, MD

Practitioner Dermatology Physician Johnson City, TN

Practice location

Address
2898 Boones Creek Rd STE 105, Johnson City, TN 37615-4976
Phone
(423) 262-0112

Registered specialties (4)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD17098 (TN)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence MD17098 (TN)
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence MD17098 (TN)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD17098 (TN)

Registry record

NPI
1013902907
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Sep 2005
Record last updated
3 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.