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Individual

LESLIE G KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3945 E PARADISE FALLS DR, STE 201, TUCSON, AZ 85712-6683
(520) 290-5888
(520) 290-5551
Mailing address
3945 E PARADISE FALLS DR, STE 201, TUCSON, AZ 85712-6683
(520) 290-5888
(520) 290-5551

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5351
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
05351
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201640
AZ
Enumeration date
11/14/2005
Last updated
02/25/2013
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