Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 042.0013914 | VT |
N | 207Q00000X | Family Doctor | 101037 | ZZ |
Y | 207Q00000X | Family Doctor | 56761 | AZ |
N | 207QS0010X | Family Doctor - Sports Medicine | 042.0013914 | VT |
N | 207QS0010X | Family Doctor - Sports Medicine | 101037 | ZZ |
N | 207QS0010X | Family Doctor - Sports Medicine | 56761 | AZ |
NPI | 1306318340 |
---|---|
Provider Name | Dr. Leah Margaret Hillier |
First Address | Phoenix, AZ 85006 |
Second Address | Phoenix, AZ 85006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2018 |
Last Update Date | 10/04/2019 |