Individual
DR. RANDOLFO DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 334-6071
(319) 334-6149
Mailing address
2195 DOUBLE L DR, INDEPENDENCE, IA 50644-9658
(319) 334-2310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20387
IA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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