Individual
GARY L LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2132 E 3RD ST, DAYTON, OH 45403-1930
(937) 208-6850
(937) 208-6866
Mailing address
2132 E 3RD ST, DAYTON, OH 45403-1930
(937) 208-6850
(937) 208-6866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.059093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775862
—
OH
Enumeration date
06/05/2006
Last updated
11/12/2007
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