MEDICARE: LESLIE MCCASLAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	E-1651	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003873019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE MCCASLAND M.D.

Provider Business Mailing Address
First Line	:	2231 HILL PARK COVE
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401
Country	:	US
Telephone Number	:	870-333-2721
Fax Number	:	870-333-2720

Provider Business Practice Location Address
First Line	:	2231 HILL PARK COVE
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401
Country	:	US
Telephone Number	:	870-333-2721
Fax Number	:	870-333-2720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	01/18/2017

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