Wombold, Leroy
Wombold, Leroy is an individual health care provider with primary practice located at 122 E Main St , Payson AZ 85541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wombold, Leroy can be contacted via phone (928) 596-4600.Contact Information
Primary practice address
122 E Main St
Payson AZ 85541
Phone: (928) 596-4600
Fax: (928) 596-4620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 005165 | Arizona |
Profile Details
| NPI number | 1841267937 |
|---|---|
| LBN Legal business name | Wombold, Leroy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jun 8th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841267937 | NPPES |
| Arizona | MEDICAID | 349989 |
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