Leder, David M
Leder, David M is an individual health care provider with primary practice located at 2000 S Thompson St , Flagstaff AZ 86001-8759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Leder, David M can be contacted via phone (928) 226-6400.Contact Information
Primary practice address
2000 S Thompson St
Flagstaff AZ 86001-8759
Phone: (928) 226-6400
Fax: (928) 226-6410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-127978 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036-127978 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 54873 | Arizona |
Profile Details
| NPI number | 1639242720 |
|---|---|
| LBN Legal business name | Leder, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jan 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639242720 | NPPES |
| Arizona | Other | 54873 | STATE OF ARIZONA |
| Arizona | Other | IL4177015 | STATE OF ARIZONA |
| Arizona | MEDICAID | 320529 | STATE OF ARIZONA |
| Arizona | Other | 1912218850 | STATE OF ARIZONA |
| Arizona | Other | IL4174015 | STATE OF ARIZONA |
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