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Organization

LEAP MEDICAL SERVICES LLC

Active
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Organization

LEAP MEDICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW D. HANSERD MD (OWNER)
(337) 408-0797
Entity
Organization

Contact information

Practice address
22375 TROON DR, ATHENS, AL 35613-8138
(337) 408-0797
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 408-0797
(337) 943-0846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/22/2019
Last updated
03/11/2020
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