Organization
PREMISE HEALTH OF IOWA MEDICAL P C
Active
Other names
BAE Cedar Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
7825 6TH ST SW, CEDAR RAPIDS, IA 52404-7012
(615) 468-3188
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
03/06/2023
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