Individual
DR. ROBERT ALAN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, MS, CHES
Contact information
Practice address
214 RUSSELL ST, STARKVILLE, MS 39759
(662) 323-2371
(662) 323-2382
Mailing address
PO BOX 80121, STARKVILLE, MS 39759
(662) 323-2371
(662) 323-2382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1422
GA
111N00000X
Chiropractor
Primary
516
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115488
—
MS
Enumeration date
11/01/2006
Last updated
06/05/2020
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