Individual
DR. EDNA WISE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4274
(318) 214-4275
Mailing address
PO BOX 207, NATCHITOCHES, LA 71458-0207
(318) 352-3492
(318) 352-3524
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
009944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1323748
—
LA
Enumeration date
07/14/2005
Last updated
09/15/2008
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