Individual
DR. CINDY M. LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1502 W MEYER RD, WENTZVILLE, MO 63385
(636) 698-6266
(636) 698-6222
Mailing address
1502 W MEYER RD, WENTZVILLE, MO 63385-3653
(636) 698-6266
(636) 698-6222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110480
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080143867
MEDICARE RAILROAD
MO
05
—
248305021
—
MO
01
—
CD6059
RR GROUP
MO
Enumeration date
01/19/2006
Last updated
08/08/2018
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