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Individual

DR. CHAD ANTHONY LEEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4712 E DYNAMITE BLVD, CAVE CREEK, AZ 85331-6243
(480) 342-8711
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31929
SC
207Q00000X
Family Medicine Physician
Primary
46818
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319293
SC
01
SC02886067
MEDICARE PIN
SC
01
SC02886084
MEDICARE PIN
SC
01
SC0288J577
MEDICARE PIN
SC
Enumeration date
06/23/2009
Last updated
04/30/2026
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