Individual
DR. HEATHER N LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1609 W 40TH AVE, SUITE 403, PINE BLUFF, AR 71603-6319
(870) 534-4188
(870) 534-7964
Mailing address
1609 W 40TH AVE, SUITE 403, PINE BLUFF, AR 71603-6319
(870) 534-4188
(870) 534-7964
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
22124
NE
2086S0129X
Vascular Surgery Physician
Primary
E4849
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162395001
—
AR
Enumeration date
09/09/2005
Last updated
10/20/2020
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