Healthcare Provider Details

I. General information

NPI: 1598758898
Provider Name (Legal Business Name): WILLIAM M MCLEISH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 N 7TH ST SUITE 290
PHOENIX AZ
85006-2754
US

IV. Provider business mailing address

10645 N TATUM BLVD SUITE 200-406
PHOENIX AZ
85028-3068
US

V. Phone/Fax

Practice location:
  • Phone: 602-230-6744
  • Fax: 480-315-8802
Mailing address:
  • Phone: 480-720-6706
  • Fax: 480-315-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25606
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number25606
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: