Individual
DR. DARIN LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2375 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 522-4600
(208) 552-7521
Mailing address
689 E 700 N, FIRTH, ID 83236-1117
(208) 346-6718
(208) 552-7521
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-514
ID
Other
Enumeration date
01/24/2007
Last updated
07/09/2007
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