# PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF ORTHOAPEDICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740331891
- **Authorized official:** DONNA S COOPER (CEO)
- **Authorized official phone:** (319) 398-1772

## Contact information

- **Practice address:** 600 7TH ST SE, CEDAR RAPIDS, IA 52401-2112
- **Practice address phone:** (319) 398-1500
- **Practice address fax:** (319) 398-1558
- **Mailing address:** 600 7TH ST SE, CEDAR RAPIDS, IA 52401-2112
- **Mailing address phone:** (319) 398-1500
- **Mailing address fax:** (319) 398-1558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 56465 | WELLMARK GROUP NUMBER | IA |