Healthcare Provider Details

I. General information

NPI: 1114155561
Provider Name (Legal Business Name): TORRE LEIGH HALSCOTT M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 N 3RD ST STE 2007
PHOENIX AZ
85020-2404
US

IV. Provider business mailing address

9250 N 3RD ST STE 2007
PHOENIX AZ
85020-2404
US

V. Phone/Fax

Practice location:
  • Phone: 602-767-5636
  • Fax:
Mailing address:
  • Phone: 602-767-5636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number0101263198
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License Number01097000A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number01097000A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number01097000A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number56157
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License Number56157
License Number StateAZ
# 7
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number56157
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: