Individual
LESLIE D CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-1000
(208) 239-2136
Mailing address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-1000
(208) 239-2136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA341
ID
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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