Individual
BLAKE LEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
660 LONDON AVE STE A, MARYSVILLE, OH 43040-1515
(937) 642-1550
(937) 578-2821
Mailing address
660 LONDON AVE STE A, MARYSVILLE, OH 43040-1515
(937) 642-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.017897
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2021
Last updated
07/16/2025
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