Individual
DR. PAUL VILLANUEVA LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4921 E BELL RD STE 205, SCOTTSDALE, AZ 85254-6002
(602) 753-9403
(602) 753-9453
Mailing address
4921 E BELL RD STE 205, SCOTTSDALE, AZ 85254-6002
(602) 753-9403
(602) 753-9453
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0695
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0695
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629056981
BCBS
AZ
01
—
2558267
UHC
AZ
01
—
4849526
CIGNA
AZ
01
—
487680
AHCCCS
AZ
01
—
7488740
AETNA
AZ
01
—
P00802418
RAILROAD MEDICARE PTAN
—
Enumeration date
01/06/2006
Last updated
10/09/2015
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