Individual
DR. LETA A HICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 N CENTRAL AVE, SUITE 1010, PHOENIX, AZ 85004-4501
(602) 553-8400
(602) 553-8408
Mailing address
2020 N CENTRAL AVE, SUITE 1010, PHOENIX, AZ 85004-4501
(602) 553-8400
(602) 553-8408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40380
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336597
—
AZ
Enumeration date
03/06/2008
Last updated
06/24/2021
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