Eric B Leach is a Surgical in Provo, Utah. Eric B Leach practices all healthcare services and medical treatments related to Surgical. The NPI Number for Eric B Leach is 1124068739. The last update date is 2021-11-18.
Eric B Leach's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8013737350. The mailing address for Eric B Leach is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric B Leach |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8013737350 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124068739 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8013737350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 8533 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 867525 | AZ | -- |
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What is the Eric B Leach's unique identification number?
The Eric B Leach has been assigned the NPI (National Provider Identifier) Number 1124068739 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is Eric B Leach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric B Leach is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
When did the Eric B Leach receive its 1124068739?
The Eric B Leach was issued its 1124068739 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
On what date did the Eric B Leach receive its 1124068739 assignment from the Centers for Medicare & Medicaid Services?
The Eric B Leach was assigned its 1124068739 by the Centers for Medicare & Medicaid Services on 2006-06-08.
As of what date were the Eric B Leach's details last updated?
The information pertaining to the Eric B Leach, including its address, specialty, and other details, was most recently updated on 2021-11-18.