Individual
MR. WILLIAM LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2001 HONEY RIDGE CT, CHESTERFIELD, MO 63017-7602
(314) 530-9629
(314) 530-9629
Mailing address
2001 HONEY RIDGE CT, CHESTERFIELD, MO 63017-7602
(314) 530-9629
(314) 530-9629
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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