Individual
LEO HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PROGRESS POINT CT, O FALLON, MO 63368-2208
(636) 344-1151
Mailing address
2 PROGRESS POINT CT, O FALLON, MO 63368-2208
(636) 344-1151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006007889
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102902
—
MO
Enumeration date
06/30/2006
Last updated
08/25/2011
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