Individual
LESLIE DWAIN JUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
610 S SHERMAN ST, SUITE 201, SPOKANE, WA 99202-1342
(509) 458-7720
(509) 777-0432
Mailing address
610 S SHERMAN ST, SUITE 201, SPOKANE, WA 99202-1342
(509) 458-7720
(509) 777-0432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005317
WA
Other
Enumeration date
12/28/2007
Last updated
06/20/2014
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