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NPI Code Detail

MEDICARE: JEF LEBER MD

MEDICARE: JEF LEBER 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
1208000000XPediatrics Physician22445AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689654261
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEF LEBER MD
Provider Business Mailing Address
First Line : 25500 N NORTERRA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-8200
Country : US
Telephone Number : 623-277-1000
Fax Number :
Provider Business Practice Location Address
First Line : 16635 N 43RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85053-2707
Country : US
Telephone Number : 602-843-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 02/10/2012

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