Individual
ALAN J MCLEOD
Active
Individual
ALAN J MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21315
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010604
—
MS
05
—
120531001
—
AR
01
—
130548
BCBS
TN
05
—
203041918
—
MO
05
—
3061383
—
TN
01
—
95492
BCBS
AR
Enumeration date
08/19/2006
Last updated
08/30/2012
Update your record
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