MEDICARE: LESLIE A SCHLAGEL 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
1	363AM0700X	Medical Physician Assistant	MA051650	PA
2	363AS0400X	Surgical Physician Assistant	MA051650	PA
3	363A00000X	Physician Assistant	MA051650	PA

General Provider Information

NPI Number	:	1831382803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE A SCHLAGEL PA-C

Provider Business Mailing Address
First Line	:	314 E NORTH AVE FL 1
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4737
Country	:	US
Telephone Number	:	833-246-7662
Fax Number	:	412-442-2323

Provider Business Practice Location Address
First Line	:	314 E NORTH AVE FL 1
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4737
Country	:	US
Telephone Number	:	833-246-7662
Fax Number	:	412-442-2323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	01/03/2022

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