Individual
JOHAN NICOLAAS LEEFLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1490 E FOREMASTER DR STE 200, ST GEORGE, UT 84790-4496
(435) 628-1641
Mailing address
1490 E FOREMASTER DR STE 200, ST GEORGE, UT 84790-4496
(435) 628-1641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6496047-1206
UT
Other
Enumeration date
09/26/2011
Last updated
11/02/2011
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