Mettisa R. K. Mcleod in Collinsville - Adolescent Medicine
Mettisa R. K. Mcleod - NPI 1235245481
Mettisa R. K. Mcleod is a Adolescent Medicine in Collinsville, Illinois. Mettisa R. K. Mcleod practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mettisa R. K. Mcleod is 1235245481. The last update date is 2015-06-05.
Mettisa R. K. Mcleod's current location address is 501 Belt Line Rd, Collinsville, Illinois. You can contact this provider via phone number 6183436005 and fax number 6183439114. The mailing address for Mettisa R. K. Mcleod is 501 Belt Line Rd, Collinsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mettisa R. K. Mcleod |
|---|---|
| Address | 501 Belt Line Rd, Collinsville, Illinois |
| Phone Number | 6183436005 |
| Fax Number | 6183439114 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235245481 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2015-06-05 |
Provider Mailing Address Detail
| Address | 501 Belt Line Rd |
|---|---|
| City | Collinsville |
| State | Illinois (IL) |
| Post Code | 622344410 |
| Phone Number | 6183436005 |
| Fax Number | 6183439114 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 36113800 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mettisa R. K. Mcleod by the Centers for Medicare & Medicaid Services?
The Mettisa R. K. Mcleod has been issued the NPI (National Provider Identifier) 1235245481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mettisa R. K. Mcleod?
The Mettisa R. K. Mcleod is physically situated at 501 Belt Line Rd, in the city of Collinsville, state of IL, with the postal code 622344410.
What is Mettisa R. K. Mcleod's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mettisa R. K. Mcleod is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235245481 to Mettisa R. K. Mcleod?
The Centers for Medicare & Medicaid Services assigned the 1235245481 to Mettisa R. K. Mcleod on 2006-08-21.
When was the information regarding Mettisa R. K. Mcleod, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mettisa R. K. Mcleod, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-05.
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