Provider Demographics
NPI:1245723584
Name:REDING & LEACH MD PLLC
Entity type:Organization
Organization Name:REDING & LEACH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:REDING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-904-4762
Mailing Address - Street 1:11501 HURON LN STE 5
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2491
Mailing Address - Country:US
Mailing Address - Phone:501-904-4762
Mailing Address - Fax:
Practice Address - Street 1:11501 HURON LN STE 5
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2491
Practice Address - Country:US
Practice Address - Phone:501-904-4762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE96582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1265651509Medicaid
AR235205002Medicaid