Leo Dermatology LLC

NPI #1356683999 in Enon, Ohio

Provider Information

NPI Number: 1356683999
Entity Type: Organization
Organization Name: Leo Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 21, 2013
Last Updated: Mar 21, 2013

Practice Location

Address: 7185 DAYTON SPRINGFIELD RD
Address 2: SUITE B
City: Enon
State: Ohio
ZIP Code: 45323-1467
Phone: (937) 863-0083

Authorized Official

Name: SHERRY SUZANNE GROOMS, APN
Title: OWNER
Phone: (937) 863-0083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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