Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEROY JOHN KLASSEN
Active Sole ProprietorLEROY JOHN KLASSEN is a Peer Specialist healthcare provider located in GANADO, Arizona. NPI 1669162715 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · GANADO, AZ
Registration Details
- NPI Number
- 1669162715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2023 (3.2757803990995 yrs)
- Last Updated
- May 17, 2023
- License
-
UA2022082508 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
SR 264 & HWY 191GANADO, AZ, 86505Browse AZ providers · Browse ZIP 86505
- Phone
- 9287554694
- Fax
- 9287554747
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in GANADO, AZ
| Name | Credential | NPI |
|---|---|---|
| MICHELLE CARMEN DALE | — | 1528758695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.