Provider Demographics
NPI:1033599691
Name:LOC, BRIAN LEO (DO)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:LEO
Last Name:LOC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1000 LANGWORTHY ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7365
Mailing Address - Country:US
Mailing Address - Phone:563-584-3425
Mailing Address - Fax:563-584-3497
Practice Address - Street 1:1000 LANGWORTHY ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7313
Practice Address - Country:US
Practice Address - Phone:563-584-3425
Practice Address - Fax:563-584-3497
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IADO-06021207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease