Individual
DR. LESLIE MURLI MANOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
810 W. ANTHONY DR., ORTHO, URBANA, IL 61802-7431
(217) 326-2255
(217) 326-0210
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036137921
IL
207X00000X
Orthopaedic Surgery Physician
056405405104
NY
Other
Enumeration date
03/09/2010
Last updated
07/15/2015
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