Individual provider · Type 1 NPI
Jody J. Leisholmn, PA-C
Medical Physician Assistant · Metlakatla, AK
NPI number
1922196468
Active
Practice location
563 Brendible St.
Metlakatla, AK 99926
Mailing address
PO Box 675
Metlakatla, AK 99926-0675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 698 (AK) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1922196468
Jody J. Leisholmn, PA-C's National Provider Identifier is 1922196468, issued on Oct 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Metlakatla, AK. The record was last updated on Jul 8, 2007.