Charles Di Leonardo, MSPAS, PA-C is a surgical physician assistant in Boise, ID with 4 years of experience. Charles Di Leonardo, MSPAS, PA-C NPI is 1356095871. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 814-1000
The NPI 1356095871 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/4/2022 and was last updated on 4/11/2022.