Individual
LEIGH A JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3716 WILMINGTON PIKE, KETTERING, OH 45429-4845
(937) 298-1439
(937) 298-7422
Mailing address
210 CHELTENHAM DR, CENTERVILLE, OH 45459-1718
(937) 432-0348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003384RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121989
—
OH
Enumeration date
03/14/2012
Last updated
05/02/2019
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