Individual
DR. JOHN T LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
(870) 508-7609
Mailing address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
(870) 508-7609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5469
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166793001
—
AR
01
—
5H064
BLUECROSS BLUESHIELD
AR
Enumeration date
06/16/2006
Last updated
04/01/2019
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