Leslie Brett Flake

NPI #1356960223 in Holbrook, Arizona

Provider Information

NPI Number: 1356960223
Entity Type: Individual
Name: Leslie Brett Flake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Apr 10, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 2109 NAVAJO BLVD
City: Holbrook
State: Arizona
ZIP Code: 86025-1822
Phone: (928) 524-2851

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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