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Organization
NWIA BONE JOINT AND SPORTS SURGEONS
Active
Organization
NWIA BONE JOINT AND SPORTS SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HANSON (HIMS DIRECTOR)
(712) 262-7511
Entity
Organization
Contact information
Practice address
1200 1ST AVE E, SUITE C, SPENCER, IA 51301
(712) 262-7511
(712) 262-3658
Mailing address
1200 1ST AVE E, SUITE C, SPENCER, IA 51301
(712) 262-7511
(712) 262-3658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005212
IA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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