Healthcare Provider Details

I. General information

NPI: 1003873019
Provider Name (Legal Business Name): LESLIE MCCASLAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 HILL PARK COVE
JONESBORO AR
72401
US

IV. Provider business mailing address

2231 HILL PARK COVE
JONESBORO AR
72401
US

V. Phone/Fax

Practice location:
  • Phone: 870-333-2721
  • Fax: 870-333-2720
Mailing address:
  • Phone: 870-333-2721
  • Fax: 870-333-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberE-1651
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: