LESLIE PAUL EDGCOMB

ROCKFORD, IL
NPI1629014022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: IL  036072104)
Enumeration Date2006-06-22
Last Update Date2015-10-06
Business Address
-- LESLIE PAUL EDGCOMB M.D.
5668 E STATE ST
ROCKFORD, IL 61108-2464
Phone number: 815-229-7580
Mailing Address
-- LESLIE PAUL EDGCOMB M.D.
5668 E STATE ST
ROCKFORD, IL 61108-2464
Phone number: 815-229-7580
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