Edward Leas, PA

NPI #1619967601 in Conrad, Montana

Provider Information

NPI Number: 1619967601
Entity Type: Individual
Name: Edward Leas, PA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 805 SUNSET BLVD
City: Conrad
State: Montana
ZIP Code: 59425-1717
Phone: (406) 271-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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