Individual
DR. ANTHONY JOHN LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 8TH AVE SE, OELWEIN, IA 50662
(319) 283-4321
(319) 283-4322
Mailing address
201 8TH AVE SE, OELWEIN, IA 50662
(319) 283-4321
(319) 283-4322
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23996
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019935
—
IA
01
—
25957
BCBS
IA
Enumeration date
01/09/2007
Last updated
07/08/2007
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