Individual
DR. LEANN CARI ALLGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9159 W THUNDERBIRD RD, PEORIA, AZ 85381-4910
(623) 815-3380
(623) 815-3381
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35086244
OH
208600000X
Surgery Physician
Primary
40451
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z9023
HEALTH NET
AZ
05
—
387350
—
AZ
01
—
7383733
CONFINITY
AZ
01
—
777911
WELLCARE MEDICARE ADVANTAGE
AZ
01
—
P00784377
RAILROAD MEDICARE
AZ
Enumeration date
10/13/2005
Last updated
03/20/2014
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