Provider Demographics
NPI:1417104886
Name:VALLEY COLON & RECTAL SURGEONS, LTD
Entity Type:Organization
Organization Name:VALLEY COLON & RECTAL SURGEONS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:LEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-947-3533
Mailing Address - Street 1:3501 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE #222
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5648
Mailing Address - Country:US
Mailing Address - Phone:480-947-3533
Mailing Address - Fax:480-947-3531
Practice Address - Street 1:3501 N SCOTTSDALE RD
Practice Address - Street 2:SUITE #222
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5648
Practice Address - Country:US
Practice Address - Phone:480-947-3533
Practice Address - Fax:480-947-3531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11858174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC99854Medicare UPIN