Individual
REBECCA R LEIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, 2 BOYD TOWER, IOWA CITY, IA 52242-1007
(319) 356-4646
(319) 356-4644
Mailing address
200 HAWKINS DR, 2 BOYD TOWER, IOWA CITY, IA 52242-1007
(319) 356-4646
(319) 356-4644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26123
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036871
—
IA
01
—
080064273
RAILROAD MEDICARE
IA
Enumeration date
06/04/2006
Last updated
10/02/2013
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