Organization
PEDIATRIC ASSOCIATES OF SPRINGFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M LEAHY MD (PRESIDENT)
(937) 328-2320
Entity
Organization
Contact information
Practice address
1640 N LIMESTONE ST, SPRINGFIELD, OH 45503-2562
(937) 328-2320
(937) 525-4775
Mailing address
1640 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 328-2320
(937) 525-4775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0781597
—
OH
Enumeration date
12/12/2006
Last updated
04/26/2013
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