Individual
BERNARD ANDREW LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,O.
Contact information
Practice address
6854 ROUTE 711, SEWARD, PA 15954-3121
(814) 446-4032
(814) 446-4033
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS016584
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028359320001
—
PA
Enumeration date
05/07/2010
Last updated
11/11/2013
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