Most Relevant Information
Provider Data
| NPI Number: | 1003818642 |
| Provider Name: | KATHLEEN DOLORES VAN LEEUWEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2086S0120X |
| Specialty: | Surgery |
| License Number: | 34139 |
Most Important Dates
| Enumeration Date: | 08/12/2005 |
| Last Updated: | 03/29/2018 |
Provider Practice Location
1919 E THOMAS RD
PHOENIX
AZ
850167710
Practice Location Phone/Fax
| Phone: | 6029330016 |
| Fax: | 6029334309 |
Provider Mailing Location
3200 E CAMELBACK RD STE 250
PHOENIX
AZ
850182327
Provider Mailing Phone/Fax
| Phone: | 6029331814 |
| Fax: |