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Individual
MAX MCLEOD
Active
Individual
MAX MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0170
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11836051
CIGNA
LA
01
—
6500128565 E0303
RAILROAD MEDICARE
LA
01
—
70517 A002
CHAMPUS
LA
01
—
B4436
BLUE CROS/BLUE SHIELD OF
LA
Enumeration date
03/20/2006
Last updated
07/13/2026
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