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Individual

DR. SAMMY JOSEPH LEOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, DSC

Contact information

Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-1243
Mailing address
673 MEDICAL GROUP, 5955 ZEAMER AVE, JBER, AK 99506
(907) 580-1243

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2014004
NM

Other

Enumeration date
11/25/2013
Last updated
03/17/2023
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