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Individual

MARK J LEDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1410 N. STREET, CLINTON, IA 52732
(563) 244-5555
Mailing address
3400 DEXTER CT, DAVENPORT, IA 52807-3461
(563) 344-6667
(563) 344-6740

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036074323
IL
207L00000X
Anesthesiology Physician
2398
IA
207L00000X
Anesthesiology Physician
Primary
DO-02398
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036074323
IL
Enumeration date
12/15/2005
Last updated
06/17/2025
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