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Organization
ORTHOPEDICS & SPORTS MEDICINE PLC
Active
Organization
ORTHOPEDICS & SPORTS MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL HOLIDAY PAUL D.O. (PRESIDENT AND CEO)
(319) 753-5352
Entity
Organization
Contact information
Practice address
1223 S GEAR AVE, EASTMAN PLAZA-SUITE 101, WEST BURLINGTON, IA 52655-1682
(319) 753-5352
(319) 753-0462
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IA
363A00000X
Physician Assistant
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493536
—
IA
Enumeration date
05/22/2006
Last updated
10/23/2007
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