Leslie Irene Burnside, PA-C
Leslie Irene Burnside, PA-C is a Physician Assistant in Chubbuck, Idaho. Qualified in 2004, 22 years ago. Practices with Idaho Skin Institute LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Alabama and Idaho.
- Years since qualifying
- 22
- Licensed in
- AL, ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
147 W Chubbuck RdChubbuck, ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA518 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA-645 (AL) |
Record details
| NPI number | 1760451454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 15, 2006 |
| Last updated in NPPES | July 22, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Idaho Skin Institute Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Chubbuck
-
Michaela Sophia Butler, PA-S
4650 Hawthorne Rd Ste 3B, Chubbuck, ID 83202-2376 · (208) 252-5621
-
Renee Lynn Katter, PA-C
4460 Kings Way Ste 3, Chubbuck, ID 83202-1900 · (208) 237-3612
-
Nora L Kirkpatrick, PA
4511 Zebe Ave, Chubbuck, ID 83202-4707 · (208) 904-4780
-
Mrs. Rachel M Koster, PA-C
4650 Hawthorne Rd Ste 3B, Chubbuck, ID 83202 · (208) 237-9833