Organization
FAMILY HEALTH CENTER OF WATERLOO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN L. SAKORNBUT (OWNER)
(319) 226-4400
Entity
Organization
Contact information
Practice address
220 W RIDGEWAY AVE, SUITE 106, WATERLOO, IA 50701-4200
(319) 226-4400
(319) 226-4401
Mailing address
220 W RIDGEWAY AVE, SUITE 106, WATERLOO, IA 50701-4200
(319) 226-4400
(319) 226-4401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
12/16/2009
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