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NPI Code Detail

MEDICARE: AMERICAN GOLD HEALTH PRO LLC

MEDICARE: AMERICAN GOLD HEALTH PRO LLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1780380782
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN GOLD HEALTH PRO LLC
Provider Business Mailing Address
First Line : 1120 DEPOT LN SE STE 100
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52401-2547
Country : US
Telephone Number : 319-237-3193
Fax Number :
Provider Business Practice Location Address
First Line : 1120 DEPOT LN SE STE 100
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52401-2547
Country : US
Telephone Number : 319-237-3193
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KARLA OREA
Credential :
Telephone Number : 319-237-3193
Provider Enumeration Date : 02/01/2023
Last Update Date : 02/01/2023

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Directions to “AMERICAN GOLD HEALTH PRO LLC ” Practice Location

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