Organization
INSTITUTE FOR REGENERATIVE MEIDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEECH DC (OWNER)
(314) 972-3107
Entity
Organization
Contact information
Practice address
7721 CLAYTON RD, CLAYTON, MO 63117-1301
(314) 546-6072
(888) 569-4961
Mailing address
7721 CLAYTON RD, CLAYTON, MO 63117-1301
(314) 546-6072
(888) 569-4961
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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