Individual
STEFFANIE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1606 23RD AVE, FAIRBANKS, AK 99701-6407
(907) 457-4567
Mailing address
645 GRADELLE AVE, FAIRBANKS, AK 99709-3529
(907) 750-1076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
182434
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
09/21/2022
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