Individual
DR. TODD LEROY LETNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3740 UTICA RIDGE RD, STE B, BETTENDORF, IA 52722-1624
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE RD, STE B, BETTENDORF, IA 52722-1624
(563) 344-7400
(563) 359-9395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036088325
IL
207Q00000X
Family Medicine Physician
Primary
28887
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010063976
MEDICARE RAILROAD
—
05
—
036-088325
—
IL
01
—
036088325
LIC
IL
01
—
055007
HEALTH ALLIANCE
—
01
—
28887
LIC
IA
05
—
4073825
—
IA
01
—
40803
BLUE CROSS BLUE SHIELD
IA
01
—
8122900
BCBS GROUP NUMBER
IL
Enumeration date
02/14/2006
Last updated
07/14/2016
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