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General NPI Number Information
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NPI Number | 1679670483
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Entity Type | Individual
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Provider Name | LUIS R. LEON MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3411 N 5TH AVE STE 301
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City | PHOENIX
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State | AZ
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Zip | 85013-3812
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Country | US
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Telephone | 602-374-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 9192 W UNION HILLS DR
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City | PEORIA
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State | AZ
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Zip | 85382-8208
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Country | US
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Telephone | 602-374-4101
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Fax | 24-410-5226
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | AO69091
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35027
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License Number State | AZ
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