Leslie Ann Eddleman (NPI# 1063848653, PAC ID# 0143653451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063848653 |
| PAC ID by PECOS | 0143653451 |
| Professional Enrollment ID | I20191127000447 |
| Full Name | Leslie Ann Eddleman |
| Organization Legal Name | COMMUNITY FAMILY MEDICAL CLINIC, LLC |
| Address |
508 W Ray Fine Blvd Roland OK 74954-5262 |
| Phone Number | 4798068538 |
| Gender | F |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8426326851 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 508 W Ray Fine Blvd, Roland, OK 74954-5262 | 4798068538 | COMMUNITY FAMILY MEDICAL CLINIC, LLC |
| Organization Legal Name | COMMUNITY FAMILY MEDICAL CLINIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Wellman | Family Practice | Community Family Medical Clinic, LLC | 508 W Ray Fine Blvd, Roland, OK 74954-5262 |
| Street Address |
508 W RAY FINE BLVD |
| City | ROLAND |
| State | OK |
| Zip | 74954-5262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Wellman | Family Practice | Community Family Medical Clinic, LLC | 508 W Ray Fine Blvd, Roland, OK 74954-5262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan A Seubold | Chiropractic | 1022 Ray Fine Blvd, Suite 4, Roland, OK 74954 | |
| Maygen J Enochs-wilson | Optometry | Advanced Eye Care, Pllc | 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5367 |
| Kimberley A Brunk | Optometry | Advanced Eye Care, Pllc | 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5367 |
| City | ROLAND |
| Zip Code | 74954 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Leslie Ann Eddleman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.