Individual
DR. RICHARD ELDON LEITHISER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-4865
Mailing address
601 S GAINES ST, LITTLE ROCK, AR 72201-4007
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
N -7228
AR
2085R0202X
Diagnostic Radiology Physician
N - 7228
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113729001
—
AR
Enumeration date
01/09/2007
Last updated
03/11/2009
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