Individual provider · Type 1 NPI

Leslie L. Goodavish, MMS PAC

Physician Assistant · Madison, WI

NPI number 1730141987 Active

Practice location

4602 Eastpark Blvd
Madison, WI 53718-2002

Call (608) 263-8820 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 7929 Oak View Drive, Madison, WI 53719 · (608) 469-0232
  • 7929 Oak View Drive, Madison, WI 53719 · (608) 469-0232

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMED-PAC-LIC-79429 (MT)
Physician Assistant Primary 363A00000X1933-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730141987

Leslie L. Goodavish, MMS PAC's National Provider Identifier is 1730141987, issued on Apr 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Madison, WI. The record was last updated on Feb 15, 2021.