Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE MADORE, PA
ActiveLESLIE MADORE, PA is a Surgical Physician Assistant healthcare provider located in SANDY, Utah. NPI 1649244120 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SANDY, UT
Registration Details
- NPI Number
- 1649244120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.488568170319 yrs)
- Last Updated
- Jan 22, 2016
- License
-
9377430-1206 (UT)
Practice Information
- Address
-
9720 SOUTH 1300 EASTSUITE E230SANDY, UT, 84094Browse UT providers · Browse ZIP 84094
- Phone
- 8015012950
- Fax
- 8015012951
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in SANDY, UT
| Name | Credential | NPI |
|---|---|---|
| BRYAN A CLARK | PA-C | 1093777047 |
| COLE MITCHELL | PA-C | 1285251371 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.