Individual
MICAELA J LEIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N 4TH ST, LEAVENWORTH, KS 66048-1572
(913) 297-9628
Mailing address
2145 E BASELINE RD, TEMPE, AZ 85283-1503
(888) 705-8558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875411
—
AZ
Enumeration date
06/28/2006
Last updated
05/05/2024
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