person
Mrs. Coralia Ilinca Leyderman, PA-C
Physician Assistant in Wentzville, Missouri
NPI 1124426812

Coralia Ilinca Leyderman is a Physician Assistant based in Saint Louis, MO. Coralia Ilinca Leyderman practices in Wentzville, MO and has the professional credentials of PA-C. The NPI Number for Coralia Ilinca Leyderman is 1124426812 and holds a License No. 2014025990 (Missouri).

The current practice location address for Coralia Ilinca Leyderman is 1601 Wentzville Pkwy Ste 117, Wentzville, MO and can be reached out via phone at 636-332-8455. You can also correspond with Coralia Ilinca Leyderman through the mailing address at 3635 VISTA AVE, SAINT LOUIS, MO - 63110-2539 (mailing address contact number: ).

Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO, 63110-2539
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Provider Profile Details
NPI Number
1124426812
Provider Name
Coralia Ilinca Leyderman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1601 Wentzville Pkwy Ste 117, Wentzville, MO, 63110-2539
Phone Number
636-332-8455
Fax Number
Provider Enumeration Date
12/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1119413 01 NCCPA
2014025990 01 MO MISSOURI STATE PA LICENSE
institution
Provider Business Practice Location Address Details
Address
1601 Wentzville Pkwy Ste 117
City
State
Zip
63385-3814
Phone Number
636-332-8455
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Wentzville Pkwy Ste 117
City
State
Zip
63385-3814
Phone Number
636-332-8455
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
2014025990 (Missouri)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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