Individual
JASON KENNETH LEUBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 12TH ST, 605, PHOENIX, AZ 85006-2848
(602) 839-4567
Mailing address
1300 N 12TH ST, 605, PHOENIX, AZ 85006-2848
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
45424
AZ
Other
Enumeration date
06/16/2009
Last updated
01/05/2021
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