Individual
ROBERT W LEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, EMERGENCY DEPARTMENT, KANSAS CITY, MO 64111-3220
(816) 932-2171
Mailing address
PO BOX 78009, ST. LOUIS, MO 63178
(866) 898-7142
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
R1K82
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
R1K82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25568038
BCBS
—
Enumeration date
12/01/2005
Last updated
03/06/2008
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