Healthcare Provider Details

I. General information

NPI: 1245485408
Provider Name (Legal Business Name): LESLIE ARROYO ROBINS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE PONESSA-ARROYO BARROWS D.O.

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LEGENDS PARKWAY SUITE 110
EUREKA MO
63025
US

IV. Provider business mailing address

3517 COMPTON PKWY
SAINT CHARLES MO
63301-4078
US

V. Phone/Fax

Practice location:
  • Phone: 636-549-0100
  • Fax: 636-549-0101
Mailing address:
  • Phone: 636-699-7343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number2006037805
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number5101009620
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: