Individual
MICHON DIANNE LEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2480 BERKSHIRE PKWY, CLIVE, IA 50325-4678
(515) 225-2578
(515) 225-2598
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001132
IA
Other
Enumeration date
11/11/2005
Last updated
07/11/2008
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