Jeffrey Dale Leitner in Phoenix - Adult Medicine
Jeffrey Dale Leitner - NPI 1740466549
Jeffrey Dale Leitner is a Adult Medicine in Phoenix, Arizona. Jeffrey Dale Leitner practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Jeffrey Dale Leitner is 1740466549. The last update date is 2010-07-27.
Jeffrey Dale Leitner's current location address is 11209 N Tatum Blvd Ste 175, Phoenix, Arizona. You can contact this provider via phone number 6026528900 and fax number 6026528909. The mailing address for Jeffrey Dale Leitner is 11209 N Tatum Blvd Ste 175, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Dale Leitner |
|---|---|
| Address | 11209 N Tatum Blvd Ste 175, Phoenix, Arizona |
| Phone Number | 6026528900 |
| Fax Number | 6026528909 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740466549 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2010-07-27 |
Provider Mailing Address Detail
| Address | 11209 N Tatum Blvd Ste 175 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850286016 |
| Phone Number | 6026528900 |
| Fax Number | 6026528909 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 42839 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81048 | AZ | TRAINING PERMIT |
Post Comment/ Review Below
What is the Jeffrey Dale Leitner's 1740466549?
The Jeffrey Dale Leitner's NPI (National Provider Identifier) Number is 1740466549. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey Dale Leitner is geographically located?
The Jeffrey Dale Leitner is physically situated at the following location: 11209 N Tatum Blvd Ste 175, Phoenix, AZ, 850286016.
What is Jeffrey Dale Leitner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey Dale Leitner is Adult Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0505X.
On what date did Jeffrey Dale Leitner receive its 1740466549 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Dale Leitner was assigned its 1740466549 on 2008-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jeffrey Dale Leitner last refreshed?
The information related to the Jeffrey Dale Leitner, including its address, specialty, and other relevant details, was last updated on 2010-07-27.
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