Individual
DR. ROBERT ANGUS MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 SE MOBERLY LN, STE 4, BENTONVILLE, AR 72712-7017
(479) 715-6600
(479) 521-4603
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 521-2752
(479) 521-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
E-9966
AR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-9966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5BU80
BLUE CROSS
AR
Enumeration date
06/14/2010
Last updated
07/12/2021
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