Antaris, Leonardo Miguel

Antaris, Leonardo Miguel is an individual health care provider with primary practice located at 1230 E Rusholme St Suite 107, Davenport IA 52803-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Antaris, Leonardo Miguel can be contacted via phone (563) 326-8181.

Contact Information

Primary practice address
1230 E Rusholme St Suite 107 Davenport IA 52803-2400
Phone: (563) 326-8181
Fax: (563) 326-8184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27394 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036092359 Illinois

Profile Details

NPI number 1679541973
LBN Legal business name Antaris, Leonardo Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 21st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679541973 NPPES
Iowa MEDICAID 0293464

Popular Providers