Individual
JANET LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4137 N 108TH AVE, PHOENIX, AZ 85037-5459
(623) 877-7337
Mailing address
4137 N 108TH AVE, PHOENIX, AZ 85037-5459
(623) 877-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
006091
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2010
Last updated
06/29/2021
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