Individual
LEAH BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
5301 E GRANT RD, TUCSON, AZ 85712-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13455
IN
363A00000X
Physician Assistant
Primary
8492
AZ
Other
Enumeration date
11/11/2020
Last updated
03/29/2024
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