Individual
LINDA-MICHELLE LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3328 N LITCHFIELD RD, GOODYEAR, AZ 85395-3198
(623) 239-0394
(623) 536-5813
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
006241
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
859045
—
AZ
Enumeration date
06/10/2011
Last updated
11/11/2014
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