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NPI Code Detail

MEDICARE: BARBARA ANNE LEDNICKY MD

MEDICARE: BARBARA ANNE LEDNICKY MD
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
1208000000XPediatrics Physician22344AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356321962
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANNE LEDNICKY MD
Provider Business Mailing Address
First Line : 1661 E CAMELBACK RD
Second Line : SUITE 170
City : PHOENIX
State : AZ
Zip : 85016-3911
Country : US
Telephone Number : 602-263-9550
Fax Number : 602-263-1150
Provider Business Practice Location Address
First Line : 1661 E CAMELBACK RD
Second Line : SUITE 170
City : PHOENIX
State : AZ
Zip : 85016-3911
Country : US
Telephone Number : 602-263-9550
Fax Number : 602-263-1150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 07/24/2014

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Directions to “ BARBARA ANNE LEDNICKY MD” Practice Location

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