Provider Demographics
NPI:1598760142
Name:LEEPER, HAROLD FRANK (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:FRANK
Last Name:LEEPER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6252
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0726
Mailing Address - Country:US
Mailing Address - Phone:304-234-4454
Mailing Address - Fax:304-234-2037
Practice Address - Street 1:58 16TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3660
Practice Address - Country:US
Practice Address - Phone:304-234-2020
Practice Address - Fax:304-234-2037
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV16379174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV16379BOtherTHE HEALTH PLAN
WV0095403000Medicaid
OH0741602Medicaid
OH0741602Medicaid
WVE12832Medicare UPIN