MELISSA LEONARD PA-C SURGICAL ASSIST - NPI 1356967236 - Physician Assistant in Phoenix, AZ

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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About Melissa Leonard Pa-c Surgical Assist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA LEONARD PA-C SURGICAL ASSIST (NPI 1356967236) is a healthcare organization registered as a surgical in Phoenix, Arizona and active in the NPI registry since June 2020. The organization lists Melissa Leonard, Owner, as its authorized official.

NPPES Registry Identity

NPI1356967236

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameMELISSA LEONARD PA-C SURGICAL ASSIST

Location Address7600 N 15TH ST STE 290Phoenix, AZ 85020-4336

Mailing AddressPo Box 39179Phoenix, AZ 85069-9179 · (602) 395-0718 · Fax (602) 277-8146

Phone(602) 395-0718

Fax(602) 277-8146

Organization SubpartNo

Authorized OfficialMelissa LeonardOwner · (602) 395-0718

Enumeration DateJune 17, 2020

Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration

NPPES CertifiedOctober 18, 2021

✔ NPI 1356967236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

7600 N 15TH ST STE 290, Phoenix, AZ 85020

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP