Provider Demographics
NPI:1689876625
Name:LESLIE, SCOTT DAVID (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DAVID
Last Name:LESLIE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3949 N MAIN ST
Mailing Address - Street 2:STE. D
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4200
Mailing Address - Country:US
Mailing Address - Phone:419-425-5121
Mailing Address - Fax:419-425-5738
Practice Address - Street 1:3949 N MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4200
Practice Address - Country:US
Practice Address - Phone:419-425-5121
Practice Address - Fax:419-425-5738
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0918712083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine