Individual
DR. DOUGLAS CLARENCE LEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 S CENTRE AVE STE A3, LEESPORT, PA 19533-8661
(610) 921-6570
(610) 926-8352
Mailing address
5 S CENTRE AVE STE A3, LEESPORT, PA 19533-8661
(610) 921-6570
(610) 926-8352
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS021306
PA
Other
Enumeration date
04/07/2017
Last updated
12/27/2022
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