Organization
MELISSA LEONARD PA-C SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LEONARD PA-C (OWNER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
7600 N 15TH ST STE 290, PHOENIX, AZ 85020-4336
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
10/18/2021
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