Dr LEAH AMBROSE is a female medical professional, specializing in Physician Assistant. She graduated in 2016.
SHAWN CLARK, MD, PC
6701 AIRPORT BLVD
MOBILE
AL
366086705
Tel: 2515454776
| Npi | 1386191740 |
| Pac Id | 4981991148 |
| Professional Enrollment Id | I20161003001333 |
| Last Name | AMBROSE |
| First Name | LEAH |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | SHAWN CLARK, MD, PC |
| Group Practice Pac Id | 0143459776 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 6701 AIRPORT BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MOBILE |
| State | AL |
| Zip Code | 366086705 |
| Phone Number | 2515454776 |
| Hospital Affiliation Ccn 1 | 010090 |
| Hospital Affiliation Lbn 1 | PROVIDENCE HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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