Individual
MR. LEON M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
(203) 732-1332
Mailing address
67 MAPLE AVE, 2ND FLOOR, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000749
CT
363AS0400X
Surgical Physician Assistant
Primary
749
CT
Other
Enumeration date
04/21/2006
Last updated
01/10/2021
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