person
Leslie Paul Edgcomb, MD
Vascular Surgery Physician in Rockford, Illinois
NPI 1629014022

Leslie Paul Edgcomb is a Vascular Surgery Physician based in Rockford, IL and is specialized in Vascular Surgery. Leslie Paul Edgcomb practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Leslie Paul Edgcomb is 1629014022 and holds a License No. 036072104 (Illinois).

The current practice location address for Leslie Paul Edgcomb is 5668 E State St, Rockford, IL and can be reached out via phone at 815-229-7580.

Location: 5668 E State St, Rockford, IL, 61108-2464
person
Provider Profile Details
NPI Number
1629014022
Provider Name
Leslie Paul Edgcomb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5668 E State St, Rockford, IL, 61108-2464
Phone Number
815-229-7580
Fax Number
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036072104 05 IL
30696600 05 WI
020017328 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5668 E State St
City
State
Zip
61108-2464
Phone Number
815-229-7580
Fax Number
person
Provider Business Mailing Address Details
Address
5668 E State St
City
State
Zip
61108-2464
Phone Number
815-229-7580
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
036072104 (Illinois)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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