NPI 1033190467

Michon Dianne Leddy, PAC

Practitioner Physician Assistant Clive, IA

Practice location

Address: 2480 Berkshire Pkwy, Clive, IA 50325-4678
Phone: (515) 225-2578
Fax: (515) 225-2598
Mailing address: 2213 Grand Ave, Des Moines, IA 50312-5305

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001132 (IA)

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Registry record

NPI: 1033190467
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2005
Record last updated: 11 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.