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Organization

LEO G STINNETT JR MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEO G STINNETT JR. M.D. (OWNER)
(480) 827-7979
Entity
Organization

Contact information

Practice address
6641 E BAYWOOD AVE, SUITE B-3, MESA, AZ 85206-1723
(480) 827-7979
(480) 654-7173
Mailing address
6641 E BAYWOOD AVE, SUITE B-3, MESA, AZ 85206-1723
(480) 827-7979
(480) 654-7173

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27159
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00210676
RAILROAD MEDICARE
AZ
Enumeration date
12/01/2006
Last updated
03/18/2008
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