John G Leslie in Gallup - Family Medicine

John G Leslie - NPI 1902836513

John G Leslie is a Family Medicine in Gallup, New Mexico. John G Leslie practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John G Leslie is 1902836513. The last update date is 2011-10-31.

John G Leslie's current location address is 516 Nizhoni Blvd, Gallup, New Mexico. You can contact this provider via phone number 5057221000 and fax number 5057221310. The mailing address for John G Leslie is 516 Nizhoni Blvd, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name John G Leslie
Address 516 Nizhoni Blvd, Gallup, New Mexico
Phone Number 5057221000
Fax Number 5057221310
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1902836513
Provider Enumeration Date 2006-07-03
Last Updated Date 2011-10-31

Provider Mailing Address Detail

Address 516 Nizhoni Blvd
City Gallup
State New Mexico (NM)
Post Code 873015748
Phone Number 5057221000
Fax Number 5057221310

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 9396
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000S6962 NM --
414566 AZ --

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FAQs about John G Leslie

What is the unique identifier code issued to John G Leslie by the Centers for Medicare & Medicaid Services?

The John G Leslie has been assigned the NPI (National Provider Identifier) 1902836513. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where John G Leslie is geographically located?

The John G Leslie is physically situated at the following location: 516 Nizhoni Blvd, Gallup, NM, 873015748.

What is John G Leslie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John G Leslie's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did John G Leslie receive its 1902836513 assignment from the Centers for Medicare & Medicaid Services?

The John G Leslie was assigned its 1902836513 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John G Leslie most recently updated?

The details pertaining to the John G Leslie, including its address, specialty, and other relevant information, were last refreshed on 2011-10-31.

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