Richard A Leese D,C.

NPI 1043336837 - Chiropractor - 111N00000X

NPI Details
NPI 1043336837
Gender Male
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
409 S PROSPECT RD
SUITE B
BLOOMINGTON IL, 61704-4581, US
Phone (309) 663-8541
Fax (309) 663-9866
Business Location
409 S PROSPECT RD
SUITE B
BLOOMINGTON IL, 61704-4581, US
Phone (309) 663-8541
Fax (309) 663-9866
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Dr. Richard A Leese D,C. NPI is 1043336837, taxonomy code is 111N00000X Richard A Leese D,C. physically located at 409 S Prospect Rd, Bloomington IL, 61704-4581. NPI Number Richard A Leese D,C. has the Individual type.

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1043336837 NPI number is provided on an as is basis without warranty of any kind. 1043336837 is maintained by the National Plan & Provider Enumeration System. The contents of Richard A Leese D,C. are for informational purposes only.