Individual
LEROY MC DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 371-2515
Mailing address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 371-2515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1358
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173633
—
AZ
Enumeration date
01/20/2006
Last updated
07/08/2007
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