Individual
MR. PLUMMER LEON WAX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(858) 499-2600
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(858) 499-2600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15657
CA
Other
Enumeration date
07/05/2007
Last updated
08/31/2015
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