| Doctor Name: | MRS. DENISE A. LEACH |
| NPI Number: | 1235104589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 00415 |
| Business Practice Address: | Route 219/250 Mill Creek, WV - 262800247 |
| Business Phone Number: | 3043352050 |
| Business Fax Number: | 3043356158 |
| Mailing Address: | Po Box 247, MILL CREEK |
| State: | WV |
| Postal Code: | 262800247 |
| Phone Number: | 3043352050 |
| Fax Number: | 3043356158 |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 05/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 00415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |