Stinnett, Leo Gaston

Stinnett, Leo Gaston is an individual health care provider with primary practice located at 1209 W Target Range Rd , Nogales AZ 85621-2466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stinnett, Leo Gaston can be contacted via phone (520) 287-4747.

Contact Information

Primary practice address
1209 W Target Range Rd Nogales AZ 85621-2466
Fax: (520) 285-3136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J0285 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 27159 Arizona

Profile Details

NPI number 1306864145
LBN Legal business name Stinnett, Leo Gaston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 26th, 2022 - about 4 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 1306864145 NPPES
Arizona MEDICAID 454835

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