# MRS. LESLIE JEAN OGILVY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598077398
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | PA.0004937 | CO | — |
| 363A00000X | Physician Assistant | 9261 | GA | Yes |
| 363A00000X | Physician Assistant | PA.0004937 | CO | — |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000158036 | — | CO |
| 01 | — | PA.0004937 | MEDICAL LICENSE | CO |