Individual
CONNIE LEEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1262
Mailing address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A127011
CA
Other
Enumeration date
03/23/2012
Last updated
12/07/2016
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