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Individual
DR. PAUL VILLANUEVA LEDESMA
Active
Individual
DR. PAUL VILLANUEVA LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0695
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0695
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629056981
BCBS
AZ
01
—
2558267
UHC
AZ
01
—
4849526
CIGNA
AZ
01
—
487680
AHCCCS
AZ
01
—
7488740
AETNA
AZ
01
—
P00802418
RAILROAD MEDICARE PTAN
—
Enumeration date
01/06/2006
Last updated
10/09/2015
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