MEDICARE: DR. SCOTT LEFFLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	47967	AZ

General Provider Information

NPI Number	:	1518101534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT LEFFLER MD

Provider Business Mailing Address
First Line	:	1219 E HARBOR VIEW DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-2117
Country	:	US
Telephone Number	:	440-241-3876
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 E HARBOR VIEW DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283
Country	:	US
Telephone Number	:	440-241-3876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	09/23/2019

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