Individual provider · Type 1 NPI

Jack Deleonardo, PAC

Physician Assistant · Phoenix, AZ

NPI number 1417068248 Active

Practice location

650 E Indian School Rd, Dept Veterans Affairs
Phoenix, AZ 85012

Call (602) 277-5551 Map

Mailing address

2699 S 167th Dr
Goodyear, AZ 85338-7317

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X196 (MT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417068248

Jack Deleonardo, PAC's National Provider Identifier is 1417068248, issued on Aug 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 2, 2016.