Provider Demographics
NPI:1700997715
Name:LEICKEN, DAVID WILLIAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:LEICKEN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:8041 E WHISPERING WIND DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-2839
Mailing Address - Country:US
Mailing Address - Phone:480-767-3599
Mailing Address - Fax:480-885-1985
Practice Address - Street 1:8124 E CACTUS RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5262
Practice Address - Country:US
Practice Address - Phone:602-910-4050
Practice Address - Fax:480-885-1985
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-11-09
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Provider Licenses
StateLicense IDTaxonomies
AZ271382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry