Individual
DR. PETER LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2580 HIGHWAY 95 STE 224, BULLHEAD CITY, AZ 86442-7332
(928) 704-7011
(928) 704-7014
Mailing address
3333 E CAMELBACK RD, SUITE 180, PHOENIX, AZ 85018-2322
(602) 997-0484
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3500
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642159
—
AZ
Enumeration date
05/24/2005
Last updated
10/29/2019
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