| Leading Edge Healthcare, Pllc | |
|
724 N Montezuma St Ste A Prescott AZ 86301-2066 | |
| (928) 925-2871 | |
| Not Available |
| Full Name | Leading Edge Healthcare, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 724 N Montezuma St Ste A, Prescott, Arizona |
| Authorized Official Name and Position | Jacob Kirkeeng (OWNER MEMBER) |
| Authorized Official Contact | 9289252871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Edge Healthcare, Pllc 2182 Mark Ave Prescott AZ 86301-1029 Ph: () - | Leading Edge Healthcare, Pllc 724 N Montezuma St Ste A Prescott AZ 86301-2066 Ph: (928) 925-2871 |
| NPI Number | 1659017499 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 7012390271 |
|---|---|
| Medicare Enrollment ID | O20220820000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659017499 | NPI | - | NPPES |
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