Healthcare Provider Details

I. General information

NPI: 1164058954
Provider Name (Legal Business Name): LELAND H WEBB MD PLASTIC SURGERY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2020
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 Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LELAND HARDING WEBB
Title or Position: OWNER
Credential: MD
Phone: 602-266-9066