Individual
LESLIE SANGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-4760
(865) 292-3000
(865) 292-3015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110002503
VA
363A00000X
Physician Assistant
Primary
2024034954
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00390680
RAILROAD MEDICARE
VA
Enumeration date
03/26/2007
Last updated
08/28/2024
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