Individual
DR. MERVIN NIGEL LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
844 COUNTY ROAD 2150 E, FAIRFIELD, IL 62837-2823
(479) 259-8855
(870) 364-9774
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 842-4617
(618) 847-8387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036163562
IL
2084P0800X
Psychiatry Physician
E-5515
AR
Other
Enumeration date
08/09/2007
Last updated
02/10/2025
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