Healthcare Provider Details

I. General information

NPI: 1194753434
Provider Name (Legal Business Name): DANIEL DAVID LEEP PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

PO BOX 654481
DALLAS TX
75265-4481
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-3524
  • Fax: 828-213-3525
Mailing address:
  • Phone: 866-860-8755
  • Fax: 302-467-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601004041
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5601004041
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number5601004041
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: