Leitner, Jeffrey Dale

Leitner, Jeffrey Dale is an sole proprietor health care provider with primary practice located at 11209 N Tatum Blvd Ste 175 Stonecreek Medical Associates, Phoenix AZ 85028-6016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Leitner, Jeffrey Dale can be contacted via phone (602) 652-8900.

Contact Information

Primary practice address
11209 N Tatum Blvd Ste 175 Stonecreek Medical Associates Phoenix AZ 85028-6016
Phone: (602) 652-8900
Fax: (602) 652-8909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 81048 Arizona
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 42839 Arizona

Profile Details

NPI number 1740466549
LBN Legal business name Leitner, Jeffrey Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2008
Last updated Jul 27th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740466549 NPPES
Arizona Other 81048 TRAINING PERMIT

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