Brian Tyler Leach is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brian Tyler Leach NPI is 1003373564. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6120 WANDA AVE
SAINT LOUIS, MO
ZIP 63116-225
Phone: (636) 234-4277
The enumeration date for this NPI number is 2/20/2019 and was last updated on 2/20/2019.