# RIVER CITIES INTERNAL MEDICINE PC

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

## Provider details

- **NPI number:** 1922002591
- **Authorized official:** DOUGLAS J JERGENSON MD (PRESIDENT)
- **Authorized official phone:** (563) 242-7522

## Contact information

- **Practice address:** 221 MAIN AVE, CLINTON, IA 52732-2241
- **Practice address phone:** (563) 242-7522
- **Practice address fax:** (563) 242-7534
- **Mailing address:** 221 MAIN AVE, CLINTON, IA 52732-2241
- **Mailing address phone:** (563) 242-7522
- **Mailing address fax:** (563) 242-7534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 22254 | IA | Yes |
| 363A00000X | Physician Assistant | 00961 | IA | — |
| 363L00000X | Nurse Practitioner | A-077904 | IA | — |
| 363L00000X | Nurse Practitioner | A-080599 | IA | — |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 10/28/2008