Individual
ROBERT W LELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
(307) 778-5812
Mailing address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
(307) 778-5812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2526A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437163524
—
WY
01
—
301552
BLUE CROSS
WY
Enumeration date
07/27/2006
Last updated
08/30/2012
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