Organization
LEO DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY SUZANNE GROOMS APN (OWNER)
(937) 863-0083
Entity
Organization
Contact information
Practice address
7185 DAYTON SPRINGFIELD RD, SUITE B, ENON, OH 45323-1467
(937) 863-0083
Mailing address
7185 DAYTON SPRINGFIELD RD, SUITE B, ENON, OH 45323-1467
(937) 863-0083
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
263353
OH
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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