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Organization
FAMILY HEALTH CENTER OF WATERLOO, P.C.
Active
Organization
FAMILY HEALTH CENTER OF WATERLOO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN L. SAKORNBUT (OWNER)
(319) 226-4400
Entity
Organization
Contact information
Practice address
220 W RIDGEWAY AVE, SUITE 106, WATERLOO, IA 50701-4200
(319) 226-4400
(319) 226-4401
Mailing address
220 W RIDGEWAY AVE, SUITE 106, WATERLOO, IA 50701-4200
(319) 226-4400
(319) 226-4401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
12/16/2009
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