Organization
INTEGRATED PHYSICIAN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARETT LEATHEM (OWNER)
(860) 670-2412
Entity
Organization
Contact information
Practice address
6245 N 16TH ST, PHOENIX, AZ 85016-1706
(602) 499-8243
Mailing address
15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260-2717
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
06/07/2019
Last updated
04/27/2020
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