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

Mr. Eric B Leach, PA-C

Individual provider Surgical Physician Assistant · NPI 1124068739

Mr. Eric B Leach, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2000, 26 years ago. Practices with University of Utah Specialty Services, a 92-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1055 N 500 W Ste 121
Provo, UT 84604-3305
Phone: (801) 373-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2533 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 8533 (AZ)

Record details

NPI number1124068739
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address1055 N 500 W, Credentialing Department, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice University Of Utah Specialty Services — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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