Provider Demographics
NPI:1649308909
Name:LEGAN, JOSEPH J (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:LEGAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1ST MEDICAL GROUP
Mailing Address - Street 2:45 PINE STREET
Mailing Address - City:LANGLEY AFB
Mailing Address - State:VA
Mailing Address - Zip Code:23665-2080
Mailing Address - Country:US
Mailing Address - Phone:757-764-6485
Mailing Address - Fax:757-764-6843
Practice Address - Street 1:1ST MEDICAL GROUP
Practice Address - Street 2:45 PINE STREET
Practice Address - City:LANGLEY AFB
Practice Address - State:VA
Practice Address - Zip Code:23665-2080
Practice Address - Country:US
Practice Address - Phone:757-764-6485
Practice Address - Fax:757-764-6843
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA040136207X00000X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine