MEDICARE: NEUROLOGICAL ASSOCIATES OF IOWA CITY, PC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1144296914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGICAL ASSOCIATES OF IOWA CITY, PC

Provider Business Mailing Address
First Line	:	540 E JEFFERSON ST
Second Line	:	SUITE 105
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2477
Country	:	US
Telephone Number	:	319-338-5451
Fax Number	:	319-338-9366

Provider Business Practice Location Address
First Line	:	540 E JEFFERSON ST
Second Line	:	SUITE 105
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2477
Country	:	US
Telephone Number	:	319-338-5451
Fax Number	:	319-338-9366

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JULIE HEITSHUSEN
Credential	:
Telephone Number	:	319-338-5451

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	02/29/2008

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