Provider Demographics
NPI:1568444826
Name:MCGILL, LEIGH C (MD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:C
Last Name:MCGILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1920 E CAMBRIDGE AVE
Mailing Address - Street 2:201
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1459
Mailing Address - Country:US
Mailing Address - Phone:602-254-5561
Mailing Address - Fax:602-254-2185
Practice Address - Street 1:1920 E CAMBRIDGE AVE
Practice Address - Street 2:201
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-1459
Practice Address - Country:US
Practice Address - Phone:602-254-5561
Practice Address - Fax:602-254-2185
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2011-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ94332086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ226036Medicaid
AZ37WCHMW03Medicare PIN
AZ226036Medicaid