Individual
JOSEPH D LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5115 BERNARD DR STE 201, ROANOKE, VA 24018-4367
(540) 345-0289
(540) 345-9569
Mailing address
2500 N STATE ST, DEPARTMENT OF ANESTHESIOLOGY S-108, JACKSON, MS 39216-4500
(601) 984-5914
(601) 984-5915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102206494
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275995227
—
VA
05
—
1275995227
—
WV
Enumeration date
03/28/2016
Last updated
05/04/2021
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