Organization
DAVID C LEECH DO INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES LEECH DO (OWNER)
(505) 888-7770
Entity
Organization
Contact information
Practice address
101 HOSPITAL LOOP NE, SUITE 114, ALBUQUERQUE, NM 87109-2129
(505) 888-7770
(505) 830-0846
Mailing address
101 HOSPITAL LOOP NE, SUITE 114, ALBUQUERQUE, NM 87109-2129
(505) 888-7770
(505) 830-0846
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A 830 86
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040915
—
NM
Enumeration date
03/18/2009
Last updated
11/13/2014
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