Organization
LEADING EDGE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JOHNSON (OWNER)
(480) 664-6061
Entity
Organization
Contact information
Practice address
1530 S VAL VISTA DR STE 106, GILBERT, AZ 85296-3860
(480) 664-6061
(480) 584-6336
Mailing address
1530 S VAL VISTA DR STE 106, GILBERT, AZ 85296-3860
(480) 664-6061
(480) 584-6336
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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