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NPI Code Detail

MEDICARE: CEDAR RAPIDS PSYCHIATRY

MEDICARE: CEDAR RAPIDS PSYCHIATRY
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1124071089
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR RAPIDS PSYCHIATRY
Provider Business Mailing Address
First Line : 3705 RIVER RIDGE DR NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-7596
Country : US
Telephone Number : 319-393-0004
Fax Number : 319-393-0900
Provider Business Practice Location Address
First Line : 3705 RIVER RIDGE DR NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-7596
Country : US
Telephone Number : 319-393-0004
Fax Number : 319-393-0900
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ALAN WHITTERS
Credential : MD
Telephone Number : 319-393-0004
Provider Enumeration Date : 05/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1770435273 — SAMANTHA NIELAND
Practice Location Address:
3705 RIVER RIDGE DR NE
CEDAR RAPIDS, IA
52402-7596
Practice Phone: 319-804-9321
Practice Fax:
1710988217 — DR. CHARLES EVERETT GRADO M.D.
Practice Location Address:
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Practice Fax: 319-393-1867
1093778532 — ALAN WHITTERS MD
Practice Location Address:
3705 RIVER RIDGE DR NE
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52402-7596
Practice Phone: 319-393-0004
Practice Fax: 319-393-0900
1285722264 — PLASTIC SURGICAL CENTER
Practice Location Address:
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1861538142 — MONA MCCALLEY-WHITTERS PHD
Practice Location Address:
3705 RIVER RIDGE DR NE
CEDAR RAPIDS, IA
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1497048805 — TAKINTOPE AKINBIYI M.D.
Practice Location Address:
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Practice Phone: 319-384-8100
Practice Fax: 319-393-1867

Directions to “CEDAR RAPIDS PSYCHIATRY ” Practice Location

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