Individual
JASON ALEXANDER LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1730 HIGHWAY 95 STE 10, BULLHEAD CITY, AZ 86442-6909
(928) 299-3130
(928) 299-3131
Mailing address
1730 HIGHWAY 95 STE 10, BULLHEAD CITY, AZ 86442-6909
(928) 234-7114
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
02/21/2025
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