Individual
MR. STEPHEN DANA LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 N CHELAN AVE, 820 N CHELAN, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N. CHELAN, PO BOX 489, WENATCHEE, WA 98807-0489
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282171
L&I
WA
05
—
2013722
—
WA
Enumeration date
08/17/2006
Last updated
08/22/2013
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