Healthcare Provider Details

I. General information

NPI: 1720059686
Provider Name (Legal Business Name): JOHN R. MACATEE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 FOSTER RD
IOWA CITY IA
52245-1595
US

IV. Provider business mailing address

1136 FOSTER RD
IOWA CITY IA
52245-1595
US

V. Phone/Fax

Practice location:
  • Phone: 319-358-7004
  • Fax: 319-358-7006
Mailing address:
  • Phone: 319-358-7004
  • Fax: 877-395-2327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number3895
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: