Individual
LEAH MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 N 12TH ST, PHOENIX, AZ 85006-2848
(602) 839-4567
Mailing address
1300 N 12TH ST STE 500, PHOENIX, AZ 85006-2849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9778
AZ
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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