Individual
LEO C BARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3840 MCKELVEY RD, BRIDGETON, MO 63044-2003
(314) 565-0055
(800) 772-4041
Mailing address
3840 MCKELVEY RD, BRIDGETON, MO 63044-2003
(314) 565-0055
(800) 772-4041
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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