LESLIE BURNSIDE, PA-C
Physician Assistant
Active
Individual
NPI: 1760451454
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA-645 (AL) |
Frequently Asked Questions
NPI 1760451454 is the National Provider Identifier for LESLIE BURNSIDE, PA-C, a Physician Assistant provider located in Chubbuck, ID. This NPI was enumerated on March 15, 2006.
LESLIE BURNSIDE, PA-C practices at 147 W CHUBBUCK RD, Chubbuck, ID 83202.
Quick Facts
- NPI
- 1760451454
- Type
- Individual
- Enumerated
- Mar 15, 2006
- Last Updated
- Jul 22, 2014
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