Provider Demographics
NPI:1245485408
Name:ROBINS, LESLIE ARROYO (DO)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ARROYO
Last Name:ROBINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LESLIE
Other - Middle Name:PONESSA-ARROYO
Other - Last Name:BARROWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3517 COMPTON PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-4078
Mailing Address - Country:US
Mailing Address - Phone:636-699-7343
Mailing Address - Fax:
Practice Address - Street 1:20 LEGENDS PARKWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025
Practice Address - Country:US
Practice Address - Phone:636-549-0100
Practice Address - Fax:636-549-0101
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006037805207QA0505X
MI5101009620207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2006037805OtherMO STATE LICENSE
478430OtherCOHC
MI5101009620OtherMI CONTROLLED SUBSTANCE LICENSE
MO922915884OtherMO BNDD
12-09714OtherMRO
MIE49529OtherUPIN
MI2922848-11Medicaid
MI5101009620OtherMI STATE LICENSE
046091OtherAOA
126417OtherACOEM
MI0158232005OtherBC/BS
074417OtherABFM
MO1245485408Medicaid
7216711OtherAAFP
7216711OtherAAFP
MI58232000012Medicare PIN
MO922915884OtherMO BNDD
478430OtherCOHC