Organization
LEO J ANKENBRANDT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO JEROME ANKENBRANDT MD (SOLE PROPRIOTER)
(602) 866-1543
Entity
Organization
Contact information
Practice address
12801 N 16TH DR, PHOENIX, AZ 85029-2802
(602) 866-1543
(602) 866-1543
Mailing address
12801 N 16TH DR, PHOENIX, AZ 85029-2802
(602) 866-1543
(602) 866-1543
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3720
AZ
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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