Individual
MR. BRIAN A LEATHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1086 MOUND ST, SPRINGFIELD, OH 45505-1191
(937) 390-7980
(937) 390-7985
Mailing address
1086 MOUND ST, SPRINGFIELD, OH 45505-1191
(937) 390-7980
(937) 390-7985
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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