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Individual

LEON J GROBLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13188 N 103RD DR, STE 209, SUN CITY, AZ 85351-3064
(623) 876-3870
(623) 815-0087
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
27697
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
538952
AZ
Enumeration date
06/07/2006
Last updated
07/09/2007
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