Organization
MISAKO MCLEOD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISAKO MCLEOD DPM (OWNER)
(415) 302-0239
Entity
Organization
Contact information
Practice address
100 PARK VISTA DR, SUITE 3087, LAS VEGAS, NV 89138-3026
(844) 442-3668
Mailing address
100 PARK VISTA DR, SUITE 3087, LAS VEGAS, NV 89138-3026
(844) 442-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1107
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107
NEVADA STATE BOARD MEDICAL LICENSE
NV
Enumeration date
07/28/2015
Last updated
03/07/2023
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