Provider Demographics
NPI:1063460442
Name:LEFF, ROBERT BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRUCE
Last Name:LEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N. EL DORADO PLACE
Mailing Address - Street 2:# I-900
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4637
Mailing Address - Country:US
Mailing Address - Phone:520-298-8127
Mailing Address - Fax:520-298-8366
Practice Address - Street 1:1200 N. EL DORADO PLACE
Practice Address - Street 2:# I-900
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4637
Practice Address - Country:US
Practice Address - Phone:520-298-8127
Practice Address - Fax:520-298-8366
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8350207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D37177Medicare UPIN
AZZ143518Medicare PIN
AZZ143517Medicare PIN
WDBCR16Medicare PIN