Individual
LESLIE EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
13677 E MCDOWELL RD, GOODYEAR, AZ 85395-8539
(623) 882-1682
Mailing address
5021 N 20TH ST, SUITE 10630, PHOENIX, AZ 85016-4166
(480) 209-9173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005525
AZ
207R00000X
Internal Medicine Physician
R1040
AZ
Other
Enumeration date
06/29/2007
Last updated
04/06/2023
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