Individual
DR. THOMAS MACKENZIE LEAVENWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1410 N 4TH ST, CLINTON, IA 52732-2940
(563) 244-3641
Mailing address
900 STONE MILL RD, TIPTON, IA 52772-9238
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22498
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346230539
BLUE SHIELD
IA
05
—
1346230539
—
IA
Enumeration date
10/27/2005
Last updated
08/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us