Randolfo De Leon, M.D.

Surgery Physician · Independence, IA

Individual Active NPI

NPI number 1356483663

Practice location

1600 1st St E
Independence, IA 50644-3155
Phone
(319) 334-6071
Fax
(319) 334-6149

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NPI record

NPI
1356483663
Entity type
Individual (Type 1)
Enumeration date
February 13, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 20387 IA

Mailing address

2195 Double L Dr
Independence, IA 50644-9658
Phone
(319) 334-2310

About Dr. De Leon

Randolfo De Leon, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1600 1st St E, Independence, IA 50644-3155. The NPI number 1356483663 was assigned on February 13, 2007 and the record was last updated on July 8, 2007.

Dr. De Leon lists a license in the registry: #20387 (IA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randolfo De Leon, M.D.?

The NPI number is 1356483663.

What is the phone number of Dr. De Leon?

The phone number listed for the practice location is (319) 334-6071.

Where is Dr. De Leon located?

1600 1st St E, Independence, IA 50644-3155.

What is the taxonomy code for Dr. De Leon?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.