Individual
THOMAS STEPHEN LEITZSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6241
(479) 452-0275
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6241
(479) 452-0275
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101026658
MI
207P00000X
Emergency Medicine Physician
Primary
E-15474
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
07/22/2022
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