Healthcare Provider Details

I. General information

NPI: 1811293905
Provider Name (Legal Business Name): LEIGH A. WEST M.S., PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEIGH A ARMSTRONG

II. Dates (important events)

Enumeration Date: 02/07/2011
Last Update Date: 03/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 E MARSHALL ST
RICHMOND VA
23298-5054
US

IV. Provider business mailing address

PO BOX 91734
RICHMOND VA
23291-1734
US

V. Phone/Fax

Practice location:
  • Phone: 804-254-3500
  • Fax: 804-254-1616
Mailing address:
  • Phone: 804-358-6100
  • Fax: 804-342-7619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110006344
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: