Individual
DR. THOMAS GENE LEECH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2282 NW TROOST ST, SUITE 104, ROSEBURG, OR 97470-6071
(541) 672-7428
(541) 672-7430
Mailing address
2282 NW TROOST ST, SUITE 104, ROSEBURG, OR 97470-6071
(541) 672-7428
(541) 672-7430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1490T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264523
—
OR
Enumeration date
03/08/2006
Last updated
07/08/2007
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