Organization
JASON E LEEDY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON E LEEDY MD (PHYSICIAN OWNER)
(440) 461-6100
Entity
Organization
Contact information
Practice address
2060 LANDER RD, MAYFIELD HTS, OH 44124-4100
(440) 461-6100
(440) 461-1440
Mailing address
2060 LANDER RD, MAYFIELD HTS, OH 44124-4100
(440) 461-6100
(440) 461-1440
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35085266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2731468
—
OH
Enumeration date
11/07/2006
Last updated
02/11/2019
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