# GARY VOLENTINE MD

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

## Provider details

- **NPI number:** 1861551665
- **Authorized official:** MISS TAMMY K COLEGROVE ARNP (ARNP)
- **Authorized official phone:** (712) 322-2332

## Contact information

- **Practice address:** 801 HARMONY ST, SUITE 404, COUNCIL BLUFFS, IA 51503-3106
- **Practice address phone:** (712) 322-2332
- **Practice address fax:** (712) 322-5122
- **Mailing address:** 801 HARMONY ST, SUITE 404, COUNCIL BLUFFS, IA 51503-3106
- **Mailing address phone:** (712) 322-2332
- **Mailing address fax:** (712) 322-5122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 21611 | IA | Yes |
| 363LF0000X | Family Nurse Practitioner | 107489 | IA | — |

## Other

- **Enumeration date:** 12/07/2006
- **Last updated:** 10/16/2007