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NPI Code Detail

MEDICARE: LEO HSU MD

MEDICARE:   LEO  HSU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2006007889MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215965702
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEO HSU MD
Provider Business Mailing Address
First Line : 2 PROGRESS POINT CT
Second Line :
City : O FALLON
State : MO
Zip : 63368-2208
Country : US
Telephone Number : 636-344-1151
Fax Number :
Provider Business Practice Location Address
First Line : 2 PROGRESS POINT CT
Second Line :
City : O FALLON
State : MO
Zip : 63368-2208
Country : US
Telephone Number : 636-344-1151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 08/25/2011

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Directions to “ LEO HSU MD” Practice Location

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