Organization
CRYSTAL LEACH, MD PHYSIATRY AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL IVAHNA LEACH MD (MANAGER/MEMBER/OWNER/PHYSICIAN)
(504) 915-3461
Entity
Organization
Contact information
Practice address
17351 MELFORD BLVD, BOWIE, MD 20715-4457
(240) 548-1300
(240) 548-1695
Mailing address
1296 CRONSON BLVD, UNIT 4444, CROFTON, MD 21114-9998
(504) 915-3461
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/27/2023
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