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Individual

LEON A DRISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5300 S SUTTER DR STE 12, SHOW LOW, AZ 85901-8055
(928) 251-2541
(833) 450-5183
Mailing address
5300 S SUTTER DR STE 12, SHOW LOW, AZ 85901-8055
(928) 251-2541
(833) 450-5183

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12761
AZ
208M00000X
Hospitalist Physician
12761
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
542416
AZ
Enumeration date
02/09/2006
Last updated
06/18/2024
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