NPI 1396066460

Jason Alexander Leal, CPO

Practitioner Prosthetist Bullhead City, AZ

Practice location

Address: 1730 Highway 95 STE 10, Bullhead City, AZ 86442-6909
Phone: (928) 299-3130
Fax: (928) 299-3131

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1396066460
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2010
Record last updated: 21 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.