Individual
MRS. METTISA R. K. MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 BELT LINE RD, SUITE 20-D, COLLINSVILLE, IL 62234-4410
(618) 343-6005
(618) 343-9114
Mailing address
4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL CREDENTIALING DEPT, BELLEVILLE, IL 62226-4061
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036113800
IL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
036113800
IL
207QA0505X
Adult Medicine Physician
036113800
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036113800
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036113800
IL
Other
Enumeration date
08/21/2006
Last updated
06/05/2015
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