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NPI Code Detail

MEDICARE: STOPPELMOOR ENTERPRISES INC

MEDICARE: STOPPELMOOR ENTERPRISES INC
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
1261QR0200XRadiology Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568455483
Entity Type Code : Organization
Provider Name (Legal Business Name) : STOPPELMOOR ENTERPRISES INC
Provider Business Mailing Address
First Line : 2405 TOWNCREST DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-6631
Country : US
Telephone Number : 319-351-5556
Fax Number : 319-351-0416
Provider Business Practice Location Address
First Line : 2405 TOWNCREST DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-6631
Country : US
Telephone Number : 319-351-5556
Fax Number : 319-351-0416
Authorized Official
Title or Position : PRESIDENT
Name : MR. ERNEST W STOPPELMOOR
Credential :
Telephone Number : 319-351-5556
Provider Enumeration Date : 08/25/2005
Last Update Date : 08/22/2020

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Directions to “STOPPELMOOR ENTERPRISES INC ” Practice Location

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