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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 : 1730529280
Entity Type Code : Organization
Provider Name (Legal Business Name) : IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Provider Business Mailing Address
First Line : 3415 53RD AVE
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-6976
Country : US
Telephone Number : 563-742-4350
Fax Number : 563-742-4355
Provider Business Practice Location Address
First Line : 3415 53RD AVE
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-6976
Country : US
Telephone Number : 563-742-4350
Fax Number : 563-742-4355
Authorized Official
Title or Position : VP/COO
Name : ERICK J LAINE
Credential :
Telephone Number : 515-471-9300
Provider Enumeration Date : 06/28/2013
Last Update Date : 06/28/2013

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Directions to “IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION ” Practice Location

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