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LESLIE BURNSIDE, PA-C

PA-C

Physician Assistant

NPI: 1760451454IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA518(ID)PA-645(AL)

CMS Specialties

Education

OTHER

Class of 2004

Contact & Hours

Address
147 W CHUBBUCK RD
CHUBBUCK, ID 83202

Quick Facts

NPI
1760451454
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
22

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