IndividualActive
Sammy Leos, PA-C, DSC
NPI 1689004855 · Surgical Physician Assistant · Elmendorf Afb, AK
Provider details
- NPI number
- 1689004855
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, DSC
- Sex
- Male
- Sole proprietor
- No
- License
- PA2014004 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5955 Zeamer Ave
Elmendorf Afb, AK 99506-3702
Phone: (907) 580-1243
Approximate (ZIP-level) locationGet directions
Mailing address
673 Medical Group
Jber, AK 99506
Registry dates
- Enumerated
- 2013-11-25
- Last updated
- 2023-03-17
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.