Individual
DR. LESLIE J MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3052
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
15797C
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A698230
—
CA
05
—
57430071
—
CO
01
—
P00770106
RAILROAD MEDICARE
CA
Enumeration date
08/03/2006
Last updated
04/03/2024
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