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Individual

DR. JEFFREY J LEIPHOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-1506
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-1506

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2003015589
MO

Other

Enumeration date
03/22/2006
Last updated
10/20/2011
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