Bryce Leonard, PA-C

NPI #1356743843 in Meridian, Idaho

Provider Information

NPI Number: 1356743843
Entity Type: Individual
Name: Bryce Leonard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 16, 2014
Last Updated: Oct 13, 2015

Practice Location

Address: 1130 E FAIRVIEW AVE
City: Meridian
State: Idaho
ZIP Code: 83642-1813
Phone: (208) 888-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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