Individual
SYDNEY R LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3211
(515) 643-8933
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 247-3211
(515) 643-8933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38521
IA
207P00000X
Emergency Medicine Physician
4301082121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336191667
—
IA
Enumeration date
05/16/2006
Last updated
01/27/2010
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