Individual
LEEANN M ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14541 W INDIAN SCHOOL RD, STE 600, GOODYEAR, AZ 85395-9243
(623) 535-5599
(623) 535-4696
Mailing address
14541 W INDIAN SCHOOL RD, STE 600, GOODYEAR, AZ 85395-9243
(623) 535-5599
(623) 535-4696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6571
AZ
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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