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Individual

DAVID LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
249 CLARKSON RD STE 101, ELLISVILLE, MO 63011-2497
(636) 256-0707
(636) 394-3969
Mailing address
249 CLARKSON RD STE 101, ELLISVILLE, MO 63011-2497
(636) 256-0707
(636) 394-3969

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017031986
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017031986
LICENSE
MO
Enumeration date
09/07/2017
Last updated
10/11/2023
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