Organization
ELECTRODIAGNOSTIC CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ARTURO LEIS MD (OWNER)
(601) 981-1234
Entity
Organization
Contact information
Practice address
1350 E WOODROW WILSON AVE, SUITE 2, JACKSON, MS 39216-5112
(601) 981-1234
(601) 981-3989
Mailing address
1350 E WOODROW WILSON AVE, SUITE 2, JACKSON, MS 39216-5112
(601) 981-1234
(601) 981-3989
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13667
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015353
—
MS
Enumeration date
04/03/2007
Last updated
08/22/2020
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