M Russell Leslie in Brackenridge - Specialist
M Russell Leslie - NPI 1437141959
M Russell Leslie is a Specialist in Brackenridge, Pennsylvania. M Russell Leslie practices all healthcare services and medical treatments related to Specialist. The NPI Number for M Russell Leslie is 1437141959. The last update date is 2008-02-15.
M Russell Leslie's current location address is 1030 Broadview Blvd, Brackenridge, Pennsylvania. You can contact this provider via phone number 7242248700 and fax number 7242248139. The mailing address for M Russell Leslie is 1030 Broadview Blvd, Brackenridge, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M Russell Leslie |
|---|---|
| Address | 1030 Broadview Blvd, Brackenridge, Pennsylvania |
| Phone Number | 7242248700 |
| Fax Number | 7242248139 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1437141959 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | 1030 Broadview Blvd |
|---|---|
| City | Brackenridge |
| State | Pennsylvania (PA) |
| Post Code | 150141118 |
| Phone Number | 7242248700 |
| Fax Number | 7242248139 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD028904L |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD028904L | PA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the M Russell Leslie's 1437141959?
The M Russell Leslie's NPI (National Provider Identifier) Number is 1437141959. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where M Russell Leslie is physically located?
The M Russell Leslie is physically situated at the following address: 1030 Broadview Blvd, Brackenridge, PA, 150141118.
What is M Russell Leslie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for M Russell Leslie is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did M Russell Leslie receive its 1437141959 assignment?
The M Russell Leslie was assigned its 1437141959 on 2005-08-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to M Russell Leslie last refreshed?
The information related to the M Russell Leslie, including its address, specialty, and other relevant details, was last updated on 2008-02-15.