Healthcare Provider Details

I. General information

NPI: 1871640680
Provider Name (Legal Business Name): LELAND HARDING WEBB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 N SCOTTSDALE RD STE C100
PARADISE VALLEY AZ
85253-5918
US

IV. Provider business mailing address

5410 N SCOTTSDALE RD STE C100
PARADISE VALLEY AZ
85253-5918
US

V. Phone/Fax

Practice location:
  • Phone: 602-428-6320
  • Fax:
Mailing address:
  • Phone: 602-428-6320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number48996
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number43896
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: