Individual
MRS. LEIGH ANN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8 LEE STREET, POTOMAC VALLEY FAMILY MEDICINE, MOOREFIELD, WV 26836
(304) 538-7707
(304) 538-7706
Mailing address
1951 PINE RIDGE RD, WARDENSVILLE, WV 26851-8428
(304) 897-7003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01380
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013836
—
WV
Enumeration date
11/24/2008
Last updated
04/28/2015
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