Individual
DR. LESLIE ANNE WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5555 E 5TH ST STE 101, TUCSON, AZ 85711-2415
(520) 886-4181
(520) 721-7536
Mailing address
5055 E BROADWAY BLVD, A100, TUCSON, AZ 85711-3640
(520) 327-0460
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z146300
MEDICARE PTAN
AZ
Enumeration date
07/13/2008
Last updated
10/02/2017
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