Individual
MR. JAMES LEA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 278-4930
(602) 269-7772
Mailing address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 278-4930
(602) 269-7772
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2928
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912784
—
AZ
Enumeration date
01/27/2006
Last updated
04/08/2011
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