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1609862093
LEON A PONTIKES
COTTONWOOD, AZ
NPI
1609862093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AZ 48519)
Additional Taxonomies
208600000X Surgery
(Licence: OK 22527)
Enumeration Date
2005-09-21
Last Update Date
2015-12-14
Business Address
Dr. LEON A PONTIKES MD
199 S CANDY LN SUITE 1A
COTTONWOOD, AZ 86326-4183
Phone number: 928-649-7969
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Mailing Address
Dr. LEON A PONTIKES MD
1200 N BEAVER ST PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-773-2559
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