Individual
DR. LEON ROBY BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 SANTA FE DR, SEARCY, AR 72143-6964
(501) 279-9393
Mailing address
711 SANTA FE DR, SEARCY, AR 72143-6964
(501) 279-9393
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C5038
AR
207RI0011X
Interventional Cardiology Physician
Primary
C5038
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104541001
—
AR
01
—
92-0812
MALP INS #
AR
Enumeration date
06/20/2006
Last updated
01/04/2011
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