Individual
ENRIQUE C LEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8755
(319) 356-4505
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8755
(319) 356-4505
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
31081
IA
2084V0102X
Vascular Neurology Physician
Primary
31081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142802
—
IA
01
—
55024
WELLMARK BCBS
IA
Enumeration date
08/31/2005
Last updated
08/29/2023
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