Individual
ROBERT LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2408 TOUR EDITION DR, HENDERSON, NV 89074-8300
(414) 334-0148
Mailing address
2408 TOUR EDITION DR, HENDERSON, NV 89074-8300
(414) 334-0148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44077-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43510200
—
WI
Enumeration date
08/19/2005
Last updated
04/20/2015
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