Individual
DARR W LEUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 214-0444
(217) 214-9638
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036088511
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036088511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088511
—
IL
Enumeration date
07/06/2006
Last updated
07/03/2024
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