Individual
DR. THOMAS J LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18452 BUSINESS 13, BRANSON WEST, MO 65737-9609
(417) 272-8911
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-0269
(417) 269-0279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9466
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241147040
—
MO
01
—
25107
BLUE CROSS MO
—
Enumeration date
09/28/2006
Last updated
07/21/2022
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