Individual provider · Type 1 NPI
Sammy Joseph Leos, PA-C, DSC
Surgical Physician Assistant · Elmendorf Afb, AK
NPI number
1689004855
Active
Practice location
5955 Zeamer Ave
Elmendorf Afb, AK 99506-3702
Mailing address
673 Medical Group, 5955 Zeamer Ave
Jber, AK 99506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA2014004 (NM) |
Surgical Physician Assistant: Definition to come...
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About NPI 1689004855
Sammy Joseph Leos, PA-C, DSC's National Provider Identifier is 1689004855, issued on Nov 25, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elmendorf Afb, AK. The record was last updated on Mar 17, 2023.