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NPI Code Detail

MEDICARE: LEAH PAIZ MCCULLEY R.D.

MEDICARE: LEAH PAIZ MCCULLEY R.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
1133V00000XRegistered Dietitian954642AZ

General Provider Information

NPI Number : 1558605923
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH PAIZ MCCULLEY R.D.
Provider Business Mailing Address
First Line : 18001 N 79TH AVE STE A12
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8398
Country : US
Telephone Number : 623-399-6825
Fax Number : 623-505-3474
Provider Business Practice Location Address
First Line : 64 E BROADWAY RD STE 200
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1377
Country : US
Telephone Number : 602-362-0460
Fax Number : 602-892-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2012
Last Update Date : 09/08/2025

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