Individual provider · Type 1 NPI

Leon Stor, PA

Surgical Physician Assistant · Lakewood, CO

NPI number 1235462813 Active

Practice location

11750 W 2nd Pl, Suite 255
Lakewood, CO 80228-1575

Fax (720) 321-8041

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XPA-2907 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1235462813

Leon Stor, PA's National Provider Identifier is 1235462813, issued on Sep 14, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lakewood, CO. The record was last updated on Apr 10, 2014.