James Leo, M.d., Pllc | |
804 Ainsworth Dr Ste 105 Prescott AZ 86301-1624 | |
(928) 463-6831 | |
Not Available |
Full Name | James Leo, M.d., Pllc |
---|---|
Speciality | Internal Medicine |
Location | 804 Ainsworth Dr Ste 105, Prescott, Arizona |
Authorized Official Name and Position | James Dana Leo (MEMBER) |
Authorized Official Contact | 9284636831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James Leo, M.d., Pllc Po Box 11689 Prescott AZ 86304-1689 Ph: (928) 463-6831 | James Leo, M.d., Pllc 804 Ainsworth Dr Ste 105 Prescott AZ 86301-1624 Ph: (928) 463-6831 |
NPI Number | 1972221430 |
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Provider Enumeration Date | 08/19/2022 |
Last Update Date | 08/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972221430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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