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Individual

LELAND D HUSBAND JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 910-6654
(870) 932-0526
Mailing address
800 S CHURCH ST, JONESBORO, AR 72401-4176
(870) 910-6654

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
27139
MS
2085R0202X
Diagnostic Radiology Physician
Primary
E15805
AR
390200000X
Student in an Organized Health Care Education/Training Program
T-2965
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04982863
MS
Enumeration date
03/26/2015
Last updated
11/17/2023
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