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NPI Code Detail

MEDICARE: CAREY LEEDS M.D.

MEDICARE:   CAREY  LEEDS  M.D.
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
1207V00000XObstetrics & Gynecology Physician19977AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1031813OTHERAZMEDICARE
2031820OTHERAZMEDICARE
3031881OTHERMEDICARE
4031814OTHERAZMEDICARE
5ZFQ31815OTHERMEDICARE
6G8957356OTHERWAWA MEDICARE
7031815OTHERAZMEDICARE

General Provider Information

NPI Number : 1265435218
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREY LEEDS M.D.
Provider Business Mailing Address
First Line : PO BOX 10097
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85130-0020
Country : US
Telephone Number : 520-836-3446
Fax Number : 520-836-8807
Provider Business Practice Location Address
First Line : 803 E LINCOLN AVE
Second Line :
City : SUNNYSIDE
State : WA
Zip : 98944-2383
Country : US
Telephone Number : 509-837-1550
Fax Number : 509-837-2066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/19/2019

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Directions to “ CAREY LEEDS M.D.” Practice Location

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