Individual provider · Type 1 NPI

Leah Ilene Dvorkin, PA-C, ATC, OT-SC

Surgical Physician Assistant · Vail, CO

NPI number 1710291471 Active

Practice location

181 W Meadow Dr
Vail, CO 81657-5242

Call (970) 476-1100 Map

Mailing address

1520 Avenue Pl, #1403
Atlanta, GA 30329-4015

Specialties and licenses

TaxonomyCodeLicense
Surgical Technologist 246ZS0410X09-0838 (CO)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1710291471

Leah Ilene Dvorkin, PA-C, ATC, OT-SC's National Provider Identifier is 1710291471, issued on Aug 4, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vail, CO. The record was last updated on Jan 29, 2015.