Leon, George W

Leon, George W is an individual health care provider with primary practice located at 5605 W Eugie Ave Ste 110 , Glendale AZ 85304-1273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Leon, George W can be contacted via phone (623) 847-2000.

Contact Information

Primary practice address
5605 W Eugie Ave Ste 110 Glendale AZ 85304-1273
Phone: (623) 847-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 40466 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 40466 Arizona

Profile Details

NPI number 1417928276
LBN Legal business name Leon, George W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 8th, 2019 - about 5 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 1417928276 NPPES
Arizona MEDICAID 351175

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