Individual
GREGORY P LEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
012947
ME
207X00000X
Orthopaedic Surgery Physician
Primary
17267
NH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
012947
ME
Other
Enumeration date
06/11/2006
Last updated
03/07/2017
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