MARTIN J LEIDINGER, MD, PLLC
Medical Practice at Division St, Prescott, AZ

License number
Arizona 31839
Category
Medical Practice
Type
Specialist
Owner
Name: MARTIN J LEIDINGER M.D.
Title: PROVIDER
Phone: (928) 541-1188
Address
Address
1003 Division St #4, Prescott, AZ 86301
National Provider ID: 1851502561
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARTIN J. LEIDINGER, MD, PLLC

1003 Division St STE 4, Prescott, AZ 86301

Registration:
Jun 21, 2005
State ID:
P-1210640-6
Expiration:
PERPETUAL
Member:
Martin J Leidinger Md (Member), 13720 N Tonto Rd, Prescott, AZ 86305 (Physical)
Agent:
Marion T Lefkowitz,1003 Division St STE 4, Prescott, AZ 86301 (Physical)

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