John Leak, PA

NPI #1265548820 in Carlsbad, New Mexico

Provider Information

NPI Number: 1265548820
Entity Type: Individual
Name: John Leak, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 23, 2006
Last Updated: Jul 4, 2012

Practice Location

Address: 2420 W PIERCE ST
Address 2: STE 205
City: Carlsbad
State: New Mexico
ZIP Code: 88220-3543
Phone: (575) 887-0530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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