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

Jack Deleonardo, PAC

Individual provider Physician Assistant · NPI 1417068248

Jack Deleonardo, PAC is a Physician Assistant in Phoenix, Arizona. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

650 E Indian School Rd Dept Veterans Affairs
Phoenix, AZ 85012
Phone: (602) 277-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 196 (MT)

Record details

NPI number1417068248
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 2, 2016
Mailing address2699 S 167th Dr, Goodyear, AZ 85338-7317

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