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NPI Code Detail

MEDICARE: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

MEDICARE: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1437185899
Entity Type Code : Organization
Provider Name (Legal Business Name) : IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Provider Business Mailing Address
First Line : 8101 BIRCHWOOD COURT
Second Line : SUITE R
City : JOHNSTON
State : IA
Zip : 50131-2930
Country : US
Telephone Number : 515-471-9243
Fax Number : 515-471-9319
Provider Business Practice Location Address
First Line : 1105 NORTH ANKENY BLVD
Second Line :
City : ANKENY
State : IA
Zip : 50023-4003
Country : US
Telephone Number : 515-964-4600
Fax Number : 515-963-4142
Authorized Official
Title or Position : VP/COO
Name : ROBIN L MCNICHOLS
Credential :
Telephone Number : 515-471-9201
Provider Enumeration Date : 06/25/2006
Last Update Date : 12/30/2011

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Directions to “IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION ” Practice Location

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