Individual
ORRIN KENT MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12127B N HWY 14, SUITE 5, CEDAR CREST, NM 87008
(505) 281-2460
(505) 281-2463
Mailing address
12127B NORTH HWY 14 SUITE 5, CEDAR CREST, NM 87008
(505) 281-2460
(505) 281-2463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-872-88
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080165527
RAILROAD MEDICARE NUMBER
NM
05
—
41178
—
NM
Enumeration date
07/31/2006
Last updated
03/11/2010
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