Individual
LEO A BANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655
(319) 768-3628
(319) 768-3633
Mailing address
PO BOX 668, WEST BURLINGTON, IA 52655-0668
(319) 768-3628
(319) 768-3633
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
001088
IA
207P00000X
Emergency Medicine Physician
Primary
0010881
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49776
BX
IA
01
—
930097503
RR MC
IA
Enumeration date
11/14/2005
Last updated
06/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us