Individual
JESUS ABRAHAM LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-4979
Mailing address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D07093248
DRIVER LICENSE
AZ
Enumeration date
04/27/2022
Last updated
06/30/2023
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