Individual
DR. DOUGLAS GRANT LEON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
606 E PLATT ST, MAQUOKETA, IA 52060-2415
(563) 652-5687
(563) 652-0281
Mailing address
606 E PLATT ST, MAQUOKETA, IA 52060-2415
(563) 652-5687
(563) 652-0281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023754
—
IA
01
—
02375
BLUE CROSS
—
Enumeration date
05/24/2006
Last updated
07/08/2007
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