Individual
AMANDA JOHNSON WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 S GEAR AVE STE 251, WEST BURLINGTON, IA 52655-1688
(319) 768-3700
(319) 768-3712
Mailing address
1225 S GEAR AVE STE 251, WEST BURLINGTON, IA 52655-1688
(319) 768-3700
(319) 768-3712
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
249100
MA
2084P0015X
Psychosomatic Medicine Physician
Primary
41342
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090130A
—
MA
Enumeration date
05/09/2007
Last updated
03/30/2021
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