Individual
DR. DANIEL J LEONARD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2115 N KANSAS AVE, HASTINGS, NE 68901-2640
(402) 463-6828
Mailing address
2115 N. KANSAS AVE, CHILDREN & ADOLESCENT CLINIC P.C., HASTINGS, NE 68901
(402) 463-6828
(402) 463-4767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
882
NE
2080A0000X
Pediatric Adolescent Medicine Physician
882
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470637178-13
—
NE
Enumeration date
06/26/2008
Last updated
01/11/2012
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