Individual
MR. JEFFREY A LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
209 E 5TH ST, BOWEN, IL 62316
(217) 842-5211
(217) 842-5202
Mailing address
209 E 5TH, BOWEN, IL 62316
(217) 842-5211
(217) 842-5202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
085000901
IL
Other
Enumeration date
02/22/2006
Last updated
05/19/2008
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