Pontikes, Leon A

Pontikes, Leon A is an individual health care provider with primary practice located at 199 S Candy Ln Suite 1A, Cottonwood AZ 86326-4183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pontikes, Leon A can be contacted via phone (928) 649-7969.

Contact Information

Primary practice address
199 S Candy Ln Suite 1A Cottonwood AZ 86326-4183
Phone: (928) 649-7969
Fax: (928) 634-7921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22527 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 48519 Arizona

Profile Details

NPI number 1609862093
LBN Legal business name Pontikes, Leon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Dec 14th, 2015 - about 10 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 1609862093 NPPES
Oklahoma MEDICAID 100127100A
Oklahoma Other 442172681001
Oklahoma Other 7922317
Oklahoma Other 347459110
Oklahoma MEDICAID 871971
Oklahoma Other 020051475

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