Individual
LEAH MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10290 N NORTH COUNTY BLVD STE 200, HIGHLAND, UT 84003-6012
(801) 899-3391
Mailing address
62 E 1200 N, AMERICAN FORK, UT 84003-1238
(385) 482-4161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14225430-1206
UT
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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