person
Charles Di Leonardo, MSPAS,PA-C
Surgical Physician Assistant in Boise, Idaho
NPI 1356095871

Charles Di Leonardo is a Surgical Physician Assistant based in Boise, ID and is specialized in Surgical. Charles Di Leonardo practices in Boise, ID and has the professional credentials of MSPAS,PA-C. The NPI Number for Charles Di Leonardo is 1356095871 and holds a License No. (Idaho).

The current practice location address for Charles Di Leonardo is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-814-1000.

Location: 190 E Bannock St, Boise, ID, 83712-6241
person
Provider Profile Details
NPI Number
1356095871
Provider Name
Charles Di Leonardo
Credential
MSPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-814-1000
Fax Number
Provider Enumeration Date
02/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-814-1000
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-814-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-2147 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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