Individual
LEONEL A URDANETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2311 W ROYAL PALM RD, PHOENIX, AZ 85021-4916
(602) 808-2800
Mailing address
6817 N 22ND PL, PHOENIX, AZ 85016-1146
(505) 697-8999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1531
KS
2084P0800X
Psychiatry Physician
Primary
53538
AZ
Other
Enumeration date
02/15/2006
Last updated
07/11/2019
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