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NPI Code Detail

MEDICARE: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

MEDICARE: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1356390686
Entity Type Code : Organization
Provider Name (Legal Business Name) : IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Provider Business Mailing Address
First Line : 8101 BIRCHWOOD CT
Second Line : SUITE R
City : JOHNSTON
State : IA
Zip : 50131-2930
Country : US
Telephone Number : 515-471-9372
Fax Number : 515-471-9319
Provider Business Practice Location Address
First Line : 120 S STORY ST
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-4444
Fax Number : 515-432-1331
Authorized Official
Title or Position : COO
Name : ERICK J LAINE
Credential :
Telephone Number : 515-471-9227
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/16/2012

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Directions to “IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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