Individual
EDWARD LEAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
805 SUNSET BLVD, CONRAD, MT 59425-1717
(406) 271-3211
(406) 271-3912
Mailing address
805 SUNSET BLVD, P O BOX 758, CONRAD, MT 59425-0758
(406) 271-3211
(406) 271-3912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
388
MT
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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