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Dr. Jordan T Leake, M.D.

NPI Number 1184620825

Practice Location

  • 4441 E Mcdowell Rd
    Phoenix, AZ 85008
  • Phone: (602) 273-6770
  • Fax: (602) 889-0489

Business Location

  • Po Box 29211
    Phoenix, AZ 85038
  • Phone: (602) 273-6770
  • Fax: (602) 889-0489

Other Information

  • Enumeration date: 06/27/2005
  • Last updat date: 07/08/2007
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 207L00000X
  • License number: 4492
  • License number state code: AZ
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1184620825 is assigned to Dr. Jordan T Leake, M.d.. Dr. Jordan T Leake, M.d. is practice in Phoenix, AZ 85008 with phone number 6022736770. The number of page view of Dr. Jordan T Leake, M.d. is 47.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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