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NPI Code Detail

MEDICARE: ANNIE LEINART PA-C

MEDICARE: ANNIE LEINART PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085.012032IL

General Provider Information

NPI Number : 1467311274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE LEINART PA-C
Provider Business Mailing Address
First Line : 300 COLLEGE PARK AVE
Second Line :
City : DAYTON
State : OH
Zip : 45469-2958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 COLLEGE PARK AVE
Second Line :
City : DAYTON
State : OH
Zip : 45469-2958
Country : US
Telephone Number : 937-229-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/26/2026

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Directions to “ ANNIE LEINART PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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