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Individual

DR. WILLIAM J LEONETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3201 W PEORIA AVE, SUITE A200, PHOENIX, AZ 85029-4608
(602) 843-3277
(602) 843-3643
Mailing address
3201 W PEORIA AVE, SUITE A200, PHOENIX, AZ 85029-4608
(602) 843-3277
(602) 843-3643

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
210
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188715900
ACS NUMBER
AZ
01
480025917
RAILROAD MEDICARE
AZ
01
630556
AETNA NUMBER
AZ
01
6819144
CIGNA NUMBER
AZ
01
AZ0068970
BCBS NUMBER
AZ
Enumeration date
07/27/2006
Last updated
10/19/2011
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