Individual
BRENDAN DEAN LEIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349-2299
(319) 472-6200
Mailing address
1222 OAK PARK TRL, MARION, IA 52302-2318
(563) 568-1137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IA
363AM0700X
Medical Physician Assistant
—
IA
363AS0400X
Surgical Physician Assistant
—
IA
Other
Enumeration date
01/16/2018
Last updated
12/03/2020
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