| Doctor Name: | DR. M RUSSELL LESLIE |
| NPI Number: | 1437141959 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD028904L |
| Business Practice Address: | 1030 Broadview Blvd Brackenridge, PA - 150141118 |
| Business Phone Number: | 7242248700 |
| Business Fax Number: | 7242248139 |
| Mailing Address: | 5820 Centre Ave, PITTSBURGH |
| State: | PA |
| Postal Code: | 152063710 |
| Phone Number: | 4126615500 |
| Fax Number: | 4126614760 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 02/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD028904L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |