Individual
ELLIE ZARA LEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7025 N SCOTTSDALE RD STE 302, SCOTTSDALE, AZ 85253-3694
(480) 889-6373
(480) 657-9560
Mailing address
7025 N SCOTTSDALE RD STE 302, SCOTTSDALE, AZ 85253-3694
(480) 889-6373
(480) 657-9560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A101116
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
36876
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
36876
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701121
AHCCCS
AZ
Enumeration date
08/06/2007
Last updated
03/21/2018
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