Leslie Paul Edgcomb in Rockford - Vascular Surgery
Leslie Paul Edgcomb - NPI 1629014022
Leslie Paul Edgcomb is a Vascular Surgery in Rockford, Illinois. Leslie Paul Edgcomb practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Leslie Paul Edgcomb is 1629014022. The last update date is 2015-10-06.
Leslie Paul Edgcomb's current location address is 5668 E State St, Rockford, Illinois. You can contact this provider via phone number 8152297580. The mailing address for Leslie Paul Edgcomb is 5668 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Paul Edgcomb |
|---|---|
| Address | 5668 E State St, Rockford, Illinois |
| Phone Number | 8152297580 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629014022 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2015-10-06 |
Provider Mailing Address Detail
| Address | 5668 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082464 |
| Phone Number | 8152297580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 36072104 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36072104 | IL | -- | |
| 30696600 | WI | -- | |
| 20017328 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Leslie Paul Edgcomb by the Centers for Medicare & Medicaid Services (CMS)?
The Leslie Paul Edgcomb has been assigned the NPI (National Provider Identifier) 1629014022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Leslie Paul Edgcomb's facilities are situated?
The facilities of Leslie Paul Edgcomb are physically located at the following address: 5668 E State St, Rockford, IL, 611082464.
What is the area of specialization for Leslie Paul Edgcomb, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leslie Paul Edgcomb is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did Leslie Paul Edgcomb receive its 1629014022 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Paul Edgcomb was assigned its 1629014022 on 2006-06-22, 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 Leslie Paul Edgcomb, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Leslie Paul Edgcomb, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-06.