Individual
LEA MARCIE ALHILALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 954-6228
(602) 957-6142
Mailing address
PO BOX 44037, PHOENIX, AZ 85064-4037
(602) 954-6882
(602) 975-6142
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
42074
AZ
2085N0700X
Neuroradiology Physician
MD441656
PA
2085R0202X
Diagnostic Radiology Physician
MD441656
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102551180
—
PA
05
—
525980
—
AZ
Enumeration date
06/12/2007
Last updated
10/04/2017
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