MEDICARE: DR. MARK W. LEFLER 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	207Q00000X	Family Medicine Physician	C-8277	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	080192550	OTHER		TRAVELERS MEDICARE
7	5L0667252	OTHER	AR	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0120643	OTHER		UNITED HEALTHCARE
2	5L066	OTHER	AR	BCBS
3	483745	OTHER	AR	HEALTHLINK
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	5935767	OTHER		AETNA
8	183550000	OTHER	AR	QUALCHOICE

General Provider Information

NPI Number	:	1255310819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK W. LEFLER M.D.

Provider Business Mailing Address
First Line	:	100 HOLLYWOOD AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7057
Country	:	US
Telephone Number	:	501-321-9292
Fax Number	:	877-791-3078

Provider Business Practice Location Address
First Line	:	100 HOLLYWOOD AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7057
Country	:	US
Telephone Number	:	501-321-9292
Fax Number	:	877-791-3078

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/29/2020

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Directions to “ DR. MARK W. LEFLER M.D.” Practice Location

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