Dr Randolfo De Leon, MD is a
Surgery physician based in Independence, Iowa. Dr Randolfo De Leon is licensed to practice in Iowa (license number 20387) and his current practice location is 1600 1st St E, Independence, Iowa. He can be reached at his office (for appointments etc.) via phone at
(319) 334-6071.
NPI number for Dr Randolfo De Leon is 1356483663 and his current mailing address is 2195 Double L Dr, Independence, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356483663.
Physician's Profile
| Full Name | Dr Randolfo De Leon |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1600 1st St E, Independence, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356483663
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Randolfo De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356483663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 20387 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randolfo De Leon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Randolfo De Leon, MD
2195 Double L Dr,
Independence, IA 50644-9658
Ph: (319) 334-2310 | Dr Randolfo De Leon, MD
1600 1st St E,
Independence, IA 50644-3155
Ph: (319) 334-6071 |
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