Provider Demographics
NPI:1073554929
Name:LEFLER, STEPHEN FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FRANK
Last Name:LEFLER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:105 SKYLINE DR
Mailing Address - Street 2:MILLARD HENRY CLINIC
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-3363
Mailing Address - Country:US
Mailing Address - Phone:479-968-2345
Mailing Address - Fax:479-890-2497
Practice Address - Street 1:105 SKYLINE DR
Practice Address - Street 2:MILLARD HENRY CLINIC
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-3363
Practice Address - Country:US
Practice Address - Phone:479-968-2345
Practice Address - Fax:479-890-2497
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC7115174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR112931001Medicaid
AR112931001Medicaid
AR51033Medicare PIN