Individual
LELAND K REECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 EVERGREEN LN, SUITE D, SHOW LOW, AZ 85901-7928
(928) 537-2200
(928) 537-2204
Mailing address
2051 EVERGREEN LN, SUITE D, SHOW LOW, AZ 85901-7928
(928) 537-2200
(928) 537-2204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10585
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210089
—
AZ
Enumeration date
01/26/2006
Last updated
11/16/2012
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