MEDICARE: DR ANDREWS PLASTIC SURGERY

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
1	2086S0122X	Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1063926970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR ANDREWS PLASTIC SURGERY

Provider Business Mailing Address
First Line	:	1100 5TH ST STE 210
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2934
Country	:	US
Telephone Number	:	319-450-7619
Fax Number	:	319-382-2475

Provider Business Practice Location Address
First Line	:	1100 5TH ST STE 210
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2934
Country	:	US
Telephone Number	:	319-450-7619
Fax Number	:	319-382-2475

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ERICKA RUHL
Credential	:
Telephone Number	:	319-533-4953

Provider Enumeration Date	:	11/30/2017
Last Update Date	:	02/24/2026

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