Individual
DANIEL F LEEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 299-7520
(814) 375-7798
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA057399
PA
363AM0700X
Medical Physician Assistant
Primary
OA003465
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103164654
—
PA
01
—
1T4306
MEDICARE
PA
Enumeration date
12/29/2014
Last updated
03/03/2022
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