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Individual

DR. JOHN A LEDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1485 N TURQUOISE DR, SUITE 200, FLAGSTAFF, AZ 86001-1398
(928) 774-7757
(928) 774-7767
Mailing address
1355 PIEDRA LN, FLAGSTAFF, AZ 86001-1941
(928) 556-1447

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
20823
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20823
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111120-01
AZ
Enumeration date
06/24/2006
Last updated
09/27/2017
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