Individual
LEAH JEANINE BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-5700
(515) 643-5739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012018915
MO
207R00000X
Internal Medicine Physician
DO-04874
IA
208000000X
Pediatrics Physician
2012018915
MO
208000000X
Pediatrics Physician
Primary
DO-04874
IA
Other
Enumeration date
04/16/2012
Last updated
12/20/2022
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