Individual
ZACH R LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 RIDGELAND AVE, IOWA CITY, IA 52246-5224
(309) 751-7880
Mailing address
308 RIDGELAND AVE, IOWA CITY, IA 52246-3734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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