Individual
SCOTT LOSEE LEIFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7645204-1204
UT
Other
Enumeration date
09/24/2008
Last updated
08/20/2013
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