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Organization

STL INJURY AND SPINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY LEECH DC (CEO)
(314) 972-3107
Entity
Organization

Contact information

Practice address
7721 CLAYTON RD, CLAYTON, MO 63117-1301
(314) 546-6072
(888) 569-4961
Mailing address
7721 CLAYTON RD, CLAYTON, MO 63117-1301
(314) 546-6072
(888) 569-4961

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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