Michon Dianne Leddy, PA-C

NPI #1033190467 in Clive, Iowa

Provider Information

NPI Number: 1033190467
Entity Type: Individual
Name: Michon Dianne Leddy, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 11, 2005
Last Updated: Jul 11, 2008

Practice Location

Address: 2480 BERKSHIRE PKWY
City: Clive
State: Iowa
ZIP Code: 50325-4678
Phone: (515) 225-2578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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