Leo A Banwart, PA-C
NPI #1598747891 in West Burlington, Iowa
Provider Information
- NPI Number
- 1598747891
- Entity Type
- Individual
- Name
- Leo A Banwart, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- PA-C
- Enumeration Date
- Nov 14, 2005
- Last Updated
- Jun 4, 2018
Practice Location
- Address
- 1221 S GEAR AVE
- City
- West Burlington
- State
- Iowa
- ZIP Code
- 52655
- Phone
- (319) 768-3628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
| Emergency Medicine |
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