Daniel Richard Lefler , PA
Physician Assistant โข Boise, ID
1226 W River St
Boise, ID 837027049
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 13, 2017; this date does not establish years in practice.
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Published CMS data list 334 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 115 service units.
- 95251 โ Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report: 90 service units.
- 99213 โ Established patient outpatient office visit: 59 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,493 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium โ 175 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) โ 140 prescription fills, including refills.
- Ozempic (Semaglutide) โ 115 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 37 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: 181. Middle half: 93 to 368.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: 259. Middle half: 106 to 562.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 141 in 2019 to 334 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2024.
Practice Location & Contact Primary Location
1226 W River St
Boise, ID 837027049
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: St Lukes Clinic-Treasure Valley Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
151 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $22,856 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $16,019 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,929 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$707,480 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,620.45 across 36 records.
By nature of payment
- Food and Beverage: $2,070.61 across 35 records.
- Travel and Lodging: $549.84 across 1 record.
Reporting-company totals (3 largest of 15)
- Medtronic, Inc.: $810.96 across 6 records.
- Insulet Corporation: $306.61 across 5 records.
- Corcept Therapeutics: $285.77 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Daniel Lefler has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Daniel Lefler as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Boise and Idaho
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: 181. Middle half: 93 to 368.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: 259. Middle half: 106 to 562.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: $12,226. Middle half: $6,474 to $26,101.
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: $16,433. Middle half: $6,832 to $32,555.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: $9,198. Middle half: $4,675 to $19,415.
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: $12,006. Middle half: $4,892 to $23,827.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Boise, ID (2024, 211 clinicians with data). Median for this group: 196. Middle half: 85 to 692.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Idaho (2024, 820 clinicians with data). Median for this group: 337. Middle half: 117 to 1,216.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Boise, ID (2024, 211 clinicians with data). Median for this group: $3,075. Middle half: $749 to $53,240.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Idaho (2024, 820 clinicians with data). Median for this group: $9,384. Middle half: $1,120 to $140,786.
362 active clinicians are listed under Physician Assistant with a practice address in Boise, ID (1,252 in Idaho).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Boise
12.4% of these 362 clinicians have the CMS telehealth indicator.
71.5% of these 362 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 137% from 141 in 2019 to 334 in 2024.
- 2019: 141
- 2020: 25
- 2021: 27
- 2023: 234
- 2024: 334
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Medicare-allowed amount
Medicare-allowed amount increased 1582% from $1,359 in 2019 to $22,856 in 2024.
- 2019: $1,359
- 2020: $240
- 2021: $262
- 2023: $18,893
- 2024: $22,856
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Paid by Medicare
Paid by Medicare increased 1079% from $1,359 in 2019 to $16,019 in 2024.
- 2019: $1,359
- 2020: $240
- 2021: $262
- 2023: $13,704
- 2024: $16,019
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 44% from 2,651 in 2020 to 1,493 in 2024.
- 2020: 2,651
- 2021: 1,898
- 2022: 117
- 2023: 557
- 2024: 1,493
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30-day fills
30-day fills decreased 45% from 5,315 in 2020 to 2,929 in 2024.
- 2020: 5,315
- 2021: 3,893
- 2022: 211
- 2023: 1,101
- 2024: 2,929
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Part D drug cost
Part D drug cost increased 405% from $140,080 in 2020 to $707,480 in 2024.
- 2020: $140,080
- 2021: $119,671
- 2022: $2,063
- 2023: $318,219
- 2024: $707,480
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $268.64 in 2022 to $2,620.45 in 2025.
- 2022: $268.64
- 2023: $1,893.53
- 2024: $2,422.07
- 2025: $2,620.45
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 36 records totaling $2,620.45.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
MINIMED 780G | General | $549.84 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MINIMED 780G | General | $183.75 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
TZIELD | General | $156.50 |
| Enterra Medical, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $156.47 |
| Tandem Diabetes Care, Inc. |
Food and Beverage
In-kind items and services
|
t:slim X2 Insulin Pump with Control-IQ | General | $155.52 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
|
OMNIPOD | General | $150.00 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $135.56 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
|
Dexcom G6 Transmitter | General | $128.72 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $127.21 |
| Ascendis Pharma Endocrinology Inc |
Food and Beverage
In-kind items and services
|
Yorvipath | General | $113.40 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
TEPEZZA | General | $109.38 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
|
ZEPBOUND | General | $105.21 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
|
Omnipod | General | $71.64 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
|
Omnipod | General | $57.96 |
| Tandem Diabetes Care, Inc. |
Food and Beverage
In-kind items and services
|
t:slim X2 Insulin Pump with Control-IQ | General | $46.08 |
| Rhythm Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
IMCIVREE | General | $33.67 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MINIMED 780G | General | $25.45 |
| RECORDATI_RARE_DISEASES_INC. |
Food and Beverage
In-kind items and services
|
ISTURISA | General | $24.55 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $23.66 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $23.00 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $23.00 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $22.29 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $21.33 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MINIMED 780G | General | $20.82 |
| Ascendis Pharma Endocrinology Inc |
Food and Beverage
In-kind items and services
|
Yorvipath | General | $20.76 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
115 | 89 | $217.21 | $76.56 |
|
95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
|
90 | 48 | $73.19 | $27.40 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
59 | 46 | $147.22 | $51.89 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
49 | 45 | $320.22 | $113.18 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
21 | 21 | $401.95 | $141.82 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 175 | 13,391 | $1,847.05 | 46 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 140 | 5,832 | $14,530.20 | 35 |
| Ozempic | Semaglutide | 115 | 4,676 | $151,519.24 | 21 |
| Jardiance | Empagliflozin | 100 | 5,340 | $103,025.31 | 22 |
| Trulicity | Dulaglutide | 93 | 3,460 | $114,151.58 | 21 |
| Metformin Hcl Er | Metformin Hcl | 87 | 6,168 | $1,544.11 | 25 |
| Methimazole | Methimazole | 81 | 6,537 | $1,541.56 | 23 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 69 | 3,019 | $13,932.39 | 20 |
| Mounjaro | Tirzepatide | 56 | 1,736 | $62,926.21 | 15 |
| Metformin Hcl | Metformin Hcl | 41 | 2,970 | $710.10 | 13 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 40 | 2,404 | $44,227.64 | 14 |
| Lisinopril | Lisinopril | 37 | 2,790 | $237.38 | โ |
| Novolog Flexpen | Insulin Aspart | 32 | 1,360 | $3,883.45 | 15 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 32 | 2,069 | $3,033.95 | 17 |
| Atorvastatin Calcium | Atorvastatin Calcium | 30 | 2,160 | $223.72 | โ |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 28 | 2,148 | $465.84 | โ |
| Tresiba Flextouch U-100 | Insulin Degludec | 28 | 1,896 | $28,247.34 | 12 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 23 | 946 | $16,439.18 | โ |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 23 | 820 | $19,907.40 | โ |
| Humalog Kwikpen U-100 | Insulin Lispro | 21 | 1,322 | $6,653.40 | 11 |
| Pioglitazone Hcl | Pioglitazone Hcl | 20 | 1,316 | $473.04 | โ |
| Novolog | Insulin Aspart | 18 | 1,152 | $5,831.71 | โ |
| Liothyronine Sodium | Liothyronine Sodium | 16 | 540 | $640.56 | โ |
| Pen Needle | Pen Needle, Diabetic | 16 | 1,228 | $572.65 | โ |
| Baqsimi | Glucagon | 16 | 202 | $9,978.00 | 14 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-09-12NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20210929002525
ID
3678831526
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
St Lukes Clinic-Treasure Valley Llc
403 S 11th St, Boise, ID 837026968
St Lukes Clinic-Treasure Valley Llc
1226 W River St, Boise, ID 837027049
Phone: 2083311155
St Lukes Clinic-Treasure Valley Llc
608 W Hays St, Boise, ID 837025511
Phone: 2083815970
St Lukes Clinic-Treasure Valley Llc
610 W Hays St, Boise, ID 837025511
Phone: 2083815970
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - General Practice
Doctor of Dental Medicine
Physician Assistant - Medical
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1226 W RIVER ST, BOISE, ID 837027049 (Tel: 2083311155)
Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083818752)
Registered at 300 S 23RD ST, BOISE, ID 837029100 (Tel: 2083443512)
Registered at PO BOX 9, NAMPA, ID 836530009 (Tel: 2084674431)
Physician Assistant (license number reported to NPPES: ID PA-2089)
NPI status registered as active in NPPES database
Registered at 550 E WASHINGTON BLVD, CRESCENT CITY, CA 955318160 (Tel: 7074656925)
Registered at 670 9TH ST STE 203, ARCATA, CA 955216249 (Tel: 7078268633)
Recorded as DANIEL LEFLER, PA
Physician Assistant (license number reported to NPPES: CA 55034)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Boise
- Kelly Beach, PA
- Louissa Gordon, PA-C
- Jordan Gunkel, PA-C
- Autumn Martin, PA
- Nicholas Garver, PA-C
- Dale Mcgar, PA-C
More public profiles in Idaho
Directory navigation, in NPI number order.
- Eric Stradley Nurse Anesthetist, Certified Registered ยท Pocatello
- Sam Wright, PA Physician Assistant - Medical ยท Idaho Falls
- Neil Parkinson, PharmD Pharmacist ยท Twin Falls
- Rachel Michaud Physician Assistant ยท Post Falls
- Kieran Doherty, PA-C Physician Assistant ยท Coeur D Alene
- Jarrod Altrogge, DPT Physical Therapist ยท Meridian
- Demsie Butler, MD Family Medicine ยท Jerome
- Calder Smith-Chambers, DO Family Medicine ยท Coeur D Alene
- Karina Garcia, PharmD Pharmacist ยท Boise
- Brian Carrigan, MD Family Medicine ยท Blackfoot
- Dirk Bigler, DO Radiology - Diagnostic Radiology ยท Idaho Falls
- Wendell Petty, MD Allergy & Immunology ยท Idaho Falls
Mailing Address
190 E Bannock St
Boise, ID 837126241
Phone: 2083818752