Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Grady, PA

Individual provider Medical Physician Assistant · NPI 1114902640

Leslie Grady, PA is a Medical Physician Assistant in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2005.

Licensed in
CO
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2750 Broadway St
Boulder, CO 80304-3573
Phone: (303) 440-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 225 (CO)

Record details

NPI number1114902640
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESJuly 13, 2026
Mailing address2750 Broadway St, Boulder, CO 80304-3573

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