Individual
LESLIE KAY ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1158 PITTSBURGH RD STE 101, VALENCIA, PA 16059-3128
(833) 604-7215
(724) 287-4128
Mailing address
417 THREE DEGREE RD, RENFREW, PA 16053-1221
(814) 592-9143
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002688L
PA
Other
Enumeration date
12/08/2005
Last updated
07/23/2019
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