Provider Demographics
NPI:1548316359
Name:MACLEOD, ANN DENISE (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:DENISE
Last Name:MACLEOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1195 E ARQUES AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-3904
Mailing Address - Country:US
Mailing Address - Phone:408-773-1392
Mailing Address - Fax:408-730-8139
Practice Address - Street 1:1195 E ARQUES AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3904
Practice Address - Country:US
Practice Address - Phone:408-773-9000
Practice Address - Fax:408-732-2906
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA045164207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine