| Charles Di Leonardo, MSPAS, PA-C | |
|
190 E Bannock St, Boise, ID 83712-6241 | |
| (208) 814-1000 | |
| Not Available |
| Full Name | Charles Di Leonardo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 190 E Bannock St, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356095871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA-2147 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Medical Group Llc | 3971544685 | 120 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Di Leonardo, MSPAS, PA-C 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Charles Di Leonardo, MSPAS, PA-C 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 814-1000 |
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