Individual
CHARLES DI LEONARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPAS, PA-C
Contact information
Practice address
1690 E AMARGOSA FARM RD, AMARGOSA VALLEY, NV 89020-9735
(775) 372-5432
(775) 372-1303
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-3033
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250017702
—
NV
Enumeration date
02/04/2022
Last updated
11/20/2025
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