Maderazo, Leonor Alejandro

Maderazo, Leonor Alejandro is an individual health care provider with primary practice located at 2901 North Central Ave Ste 500, Phoenix AZ 85012-2738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Maderazo, Leonor Alejandro can be contacted via phone (602) 744-4765.

Contact Information

Primary practice address
2901 North Central Ave Ste 500 Phoenix AZ 85012-2738
Fax: (602) 744-4799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9642 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 9642 Arizona

Profile Details

NPI number 1467423640
LBN Legal business name Maderazo, Leonor Alejandro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1467423640 NPPES
Arizona MEDICAID 232497

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