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Individual

TOMMY C LEEPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2080 W SOUTHERN AVE, A-2, APACHE JUNCTION, AZ 85220-7455
(480) 357-8411
(480) 357-8532
Mailing address
PO BOX 52890, MESA, AZ 85208-0145
(480) 357-8411
(480) 357-8532

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33752
AZ
208000000X
Pediatrics Physician
33752
AZ

Other

Enumeration date
05/05/2006
Last updated
08/15/2007
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