| Mrs Coralia Ilinca Leyderman, PA-C | |
|
1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385-3814 | |
| (636) 332-8455 | |
| Not Available |
| Full Name | Mrs Coralia Ilinca Leyderman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1601 Wentzville Pkwy Ste 117, Wentzville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124426812 | NPI | - | NPPES |
| 1119413 | Other | NCCPA | |
| 2014025990 | Other | MO | MISSOURI STATE PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2014025990 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Coralia Ilinca Leyderman, PA-C 3635 Vista Ave, Saint Louis, MO 63110-2539 Ph: () - | Mrs Coralia Ilinca Leyderman, PA-C 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385-3814 Ph: (636) 332-8455 |
Jacqueline Sova Castagno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Samuel R Nathan, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 Medical Dr Ste 400, Wentzville, MO 63385 Phone: 636-332-8455 | |
Ms. Dawn M Calabrese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-332-8455 | |
Matthew Sotheran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385 Phone: 636-332-8477 | |
Lauren Evan Mcgaughey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Jeffrey W Wallace, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385 Phone: 636-332-8477 |