Healthcare Provider Details

I. General information

NPI: 1821400102
Provider Name (Legal Business Name): ARIC W ALDRICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

2917 PINE HILL TRCE
CORALVILLE IA
52241-8039
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-2633
  • Fax: 319-356-2940
Mailing address:
  • Phone: 785-466-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-46309
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number94-08349
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: