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Organization
MARSHALLTOWN ORTHOPAEDICS PC
Active
Organization
MARSHALLTOWN ORTHOPAEDICS PC
Active
Parent organization
MARSHALLTOWN ORTHOPAEDICS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALLTOWN ORTHOPAEDICS PC
Authorized official
MRS. KATHY A CLAWSON (OFFICE MANAGER)
(641) 752-7191
Entity
Organization
Contact information
Practice address
312 E MAIN ST, SUITE 2400, MARSHALLTOWN, IA 50158-1888
(641) 752-7191
(641) 752-2781
Mailing address
312 E MAIN ST, SUITE 2400, MARSHALLTOWN, IA 50158-1888
(641) 752-7191
(641) 752-2781
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078436
—
IA
01
—
0299100001
MEDICARE DURABLE MED EQUI
IA
01
—
07843
WELLMARK BCBS
IA
Enumeration date
08/26/2005
Last updated
09/24/2007
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