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NPI Code Detail

MEDICARE: LEO FRANCES DROLSHAGEN MD

MEDICARE: LEO FRANCES DROLSHAGEN MD
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
12085R0202XDiagnostic Radiology PhysicianN7034AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073589321
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEO FRANCES DROLSHAGEN MD
Provider Business Mailing Address
First Line : PO BOX 3887
Second Line :
City : FORT SMITH
State : AR
Zip : 72913-3887
Country : US
Telephone Number : 479-452-9414
Fax Number : 479-484-0827
Provider Business Practice Location Address
First Line : 5707 JENNY LIND RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-7435
Country : US
Telephone Number : 479-452-9414
Fax Number : 479-484-0827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 04/30/2019

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Directions to “ LEO FRANCES DROLSHAGEN MD” Practice Location

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