| Leila Peterson, Pllc | |
|
2680 S Val Vista Dr Ste 140 Gilbert AZ 85295-1621 | |
| (435) 757-8824 | |
| Not Available |
| Full Name | Leila Peterson, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2680 S Val Vista Dr Ste 140, Gilbert, Arizona |
| Authorized Official Name and Position | Leila Peterson (OWNER) |
| Authorized Official Contact | 4357578824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leila Peterson, Pllc 2680 S Val Vista Dr Ste 140 Gilbert AZ 85295-1621 Ph: () - | Leila Peterson, Pllc 2680 S Val Vista Dr Ste 140 Gilbert AZ 85295-1621 Ph: (435) 757-8824 |
| NPI Number | 1700413978 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 06/25/2020 |
| Medicare PECOS PAC ID | 5890126908 |
|---|---|
| Medicare Enrollment ID | O20200505001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700413978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leila King Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952535056 PECOS PAC ID: 4880845395 Enrollment ID: I20200505001749 |
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