Individual
JOHN PAUL LELAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 339-7699
(573) 339-7644
Mailing address
2704 INDEPENDENCE ST, APT 8, CAPE GIRARDEAU, MO 63703-5014
(573) 339-7699
(573) 339-7644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004028646
MO
Other
Enumeration date
06/06/2006
Last updated
07/09/2007
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