Individual
DR. JOHN MARTIN WADLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1669 W INA RD STE 101, TUCSON, AZ 85704-1976
(520) 573-0966
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1940
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235756
—
AZ
Enumeration date
01/05/2006
Last updated
10/20/2022
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