Individual
DOUGLAS SHAFFER LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
601 POPLAR ST, ATLANTIC, IA 50022-1448
(712) 243-5793
(712) 243-5796
Mailing address
601 POPLAR ST, ATLANTIC, IA 50022-1448
(712) 243-5793
(712) 243-5796
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421206
—
IA
Enumeration date
10/11/2006
Last updated
11/11/2010
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