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Individual

RICHARD JOEL LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MEDICAL DOCTOR

Contact information

Practice address
5 MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661-2868
(916) 782-2229
(916) 797-9414
Mailing address
5 MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661-2868
(916) 782-2229
(916) 797-9414

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C31695
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C316951
CA
Enumeration date
05/01/2006
Last updated
08/20/2008
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