Leonard, Clinton J

Leonard, Clinton J is an sole proprietor health care provider with primary practice located at 3499 S Mercy Rd , Gilbert AZ 85297-0437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Leonard, Clinton J can be contacted via phone (480) 355-8525.

Contact Information

Primary practice address
3499 S Mercy Rd Gilbert AZ 85297-0437
Fax: (480) 355-3115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33779 Arizona

Profile Details

NPI number 1770575920
LBN Legal business name Leonard, Clinton J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Nov 7th, 2013 - about 11 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 1770575920 NPPES
Arizona MEDICAID 942145

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