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Individual

BRYCE C LEATHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 612-9595
(515) 346-6721
Mailing address
PO BOX 677080, DALLAS, TX 75267-7080
(515) 633-3600
(515) 633-3838

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IA

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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