Individual provider · Type 1 NPI

Jo Marie Leslie, PA-C

Medical Physician Assistant · Baltimore, MD

NPI number 1972643161 Active

Practice location

1830 E Monument St, Room 455
Baltimore, MD 21287-0020

Mailing address

2515 Boston St, Apt. 501
Baltimore, MD 21224-4739

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0000255 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1972643161

Jo Marie Leslie, PA-C's National Provider Identifier is 1972643161, issued on Feb 7, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.