Individual
LEIGH RYAN PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
39000 7 MILE RD STE 1400, LIVONIA, MI 48152-1006
(947) 523-4310
Mailing address
952 RIDGEFIELD CT, SOUTH LYON, MI 48178-2531
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007012
MI
Other
Enumeration date
10/21/2008
Last updated
07/21/2023
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