Individual
DR. JERRY DALE LEECH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2730 S SAINT PETERS PKWY, SUITE 104, SAINT PETERS, MO 63303-5677
(636) 244-5239
(888) 241-0474
Mailing address
118 BROOKSIDE CT, SAINT LOUIS, MO 63146-5604
(314) 972-3107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013036906
MO
Other
Enumeration date
10/14/2013
Last updated
04/26/2014
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