Provider Demographics
NPI:1861431843
Name:APACHE PLUME HEALTHCARE ASSOCIATES PC
Entity type:Organization
Organization Name:APACHE PLUME HEALTHCARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:LEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-357-8411
Mailing Address - Street 1:PO BOX 52890
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-0145
Mailing Address - Country:US
Mailing Address - Phone:480-357-8411
Mailing Address - Fax:480-357-8532
Practice Address - Street 1:2080 W SOUTHERN AVE
Practice Address - Street 2:STE A2
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85220-7455
Practice Address - Country:US
Practice Address - Phone:480-357-8411
Practice Address - Fax:480-357-8532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty