Individual provider · Type 1 NPI

Leslie Tolliver Ii, PA-C

Surgical Physician Assistant · Anchorage, AK

NPI number 1679920565 Active

Practice location

4100 Lake Otis Pkwy, Suite 206
Anchorage, AK 99508-5229

Mailing address

2101 E 74th Ave # 12C
Anchorage, AK 99507-2776

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1679920565

Leslie Tolliver Ii, PA-C's National Provider Identifier is 1679920565, issued on May 20, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Anchorage, AK. The record was last updated on Sep 15, 2016.