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Individual
DR. ANDREW T LEEBOLT
Active
Individual
DR. ANDREW T LEEBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102208637
VA
207P00000X
Emergency Medicine Physician
5357
TN
207Q00000X
Family Medicine Physician
0102208637
VA
207Q00000X
Family Medicine Physician
Primary
5357
TN
Other
Enumeration date
06/16/2019
Last updated
04/29/2025
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