Provider Demographics
NPI:1306318340
Name:HILLIER, LEAH MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:MARGARET
Last Name:HILLIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1300 N 12TH ST - SUITE 500
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:480-848-3188
Mailing Address - Fax:480-655-2421
Practice Address - Street 1:1300 N 12TH ST - SUITE 500
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:480-848-3188
Practice Address - Fax:480-655-2421
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.0013914207Q00000X, 207QS0010X
AZ56761207QS0010X, 207Q00000X
ZZ101037207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine