Individual
JASON LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6760 W THUNDERBIRD RD STE E110, PEORIA, AZ 85381-5027
(623) 846-7614
(623) 846-0993
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58158
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
58158
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58158
STATE LICENSE
AZ
Enumeration date
03/26/2013
Last updated
07/25/2022
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