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NPI Code Detail

MEDICARE: IOWA PHYSICIANS

MEDICARE: IOWA PHYSICIANS
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
1170100000XPh.D. Medical Genetics22537IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
208987OTHERINBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1184629073
Entity Type Code : Organization
Provider Name (Legal Business Name) : IOWA PHYSICIANS
Provider Business Mailing Address
First Line : 405 S CLARK ST
Second Line : STE 200
City : CARROLL
State : IA
Zip : 51401-3047
Country : US
Telephone Number : 712-792-0040
Fax Number :
Provider Business Practice Location Address
First Line : 405 S CLARK ST
Second Line : STE 200
City : CARROLL
State : IA
Zip : 51401-3047
Country : US
Telephone Number : 712-792-0040
Fax Number :
Authorized Official
Title or Position : MD
Name : DR. ERIC L PAULSON
Credential :
Telephone Number : 712-792-0040
Provider Enumeration Date : 06/16/2005
Last Update Date : 08/22/2020

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Directions to “IOWA PHYSICIANS ” Practice Location

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