Individual
DR. JOSIA D LEIPHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1410 FORUM KATY PKWY, SUITE 100, COLUMBIA, MO 65203
(573) 441-7070
(573) 441-2288
Mailing address
1410 FORUM KATY PKWY, SUITE 100, COLUMBIA, MO 65203
(573) 441-7070
(573) 441-2288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002015319
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002015319
LICENSE
MO
01
—
237691805
MBNDD
MO
Enumeration date
03/21/2006
Last updated
06/16/2025
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