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NPI Code Detail

MEDICARE: LEA WHEELER DO

MEDICARE:   LEA  WHEELER  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramAZ

General Provider Information

NPI Number : 1134068976
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA WHEELER DO
Provider Business Mailing Address
First Line : 1301 S CRISMON RD
Second Line :
City : MESA
State : AZ
Zip : 85209-3767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10238 E HAMPTON AVE STE 411
Second Line :
City : MESA
State : AZ
Zip : 85209-3320
Country : US
Telephone Number : 480-882-4750
Fax Number : 480-882-5076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ LEA WHEELER DO” Practice Location

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