Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eytan Shtull-Leber

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972036762

Eytan Shtull-Leber is an Emergency Medicine in Phoenix, Arizona. Graduated from University of Michigan Medical School in 2010, 16 years ago. Practices with Emergency Physicians of the Rockies, PC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Trained at
University of Michigan Medical School
Licensed in
AZ
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (480) 500-2540
Fax: (623) 201-7954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 — (602) 344-5808

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 59441 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972036762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2017
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020
Mailing address2601 E Roosevelt St, Phoenix, AZ 85008-4973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Group practice Emergency Physicians Of The Rockies, Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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