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NPI Profile for LEAH I DVORKIN in VAIL, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1710291471 |
|
| Status | Active | |
| Credentials | PA-C, ATC, OT-SC | |
| Entity | Individual | |
| Enumeration date | 08/04/2010 | |
| Last updated | 01/29/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LEAH I DVORKIN
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LEAH I DVORKIN, PA-C, ATC, OT-SC