Organization
LESLIE ORTHOPEDICS AND SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROBERT JOE BRUCE RN (OFFICE MANAGER)
(573) 346-3700
Entity
Organization
Contact information
Practice address
226 E US HIGHWAY 54, CAMDENTON, MO 65020-6819
(573) 346-3700
(573) 346-3307
Mailing address
226 E US HIGHWAY 54, CAMDENTON, MO 65020-6819
(573) 346-3700
(573) 346-3307
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
RP344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023031762
BRIAN D. SWANSON
MO
01
—
1922012772
CHRIS LESLIE, D.O.
MO
Enumeration date
05/23/2007
Last updated
02/08/2008
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