Individual
SANDRA A LEYO DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 N LA CANADA DR STE 101, GREEN VALLEY, AZ 85614-3700
(520) 589-2039
(520) 589-2039
Mailing address
1055 N LA CANADA DR STE 101, GREEN VALLEY, AZ 85614-3700
(520) 589-2039
(520) 589-2039
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26931
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791659
—
AZ
01
—
P00407772
RAILROAD MEDICARE
AZ
Enumeration date
03/15/2006
Last updated
07/01/2020
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