National Provider Identifier

Leo McMillen

Leo McMillen is listed in the NPPES registry with a primary specialty of Athletic Trainer in Orchard Park, NY and a listed phone number of (716) 312-8529.

NPI 1124369921Orchard Park, NYAthletic Trainer

Profile Overview

NPI
1124369921
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
March 05, 2013
Last Updated
March 05, 2013

Practice Location

  • 1 Bills Dr
  • Orchard Park, NY 14127-2237

Phone: (716) 312-8529

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1124369921
Entity Type
Individual
Last Name
McMillen
First Name
Leo
Mailing Street Address
1 Bills Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2237
Mailing Country
US
Practice Street Address
1 Bills Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2237
Practice Country
US
Practice Phone
(716) 312-8529
Practice Fax
(716) 312-8981
Enumeration Date
March 05, 2013
Last Updated
March 05, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)