Individual
FELIPE COSCOLLUELA JAVIER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 SAINT FRANCIS DR STE 411, WATERLOO, IA 50702-5634
(319) 272-5000
(319) 272-5825
Mailing address
2710 SAINT FRANCIS DR STE 411, WATERLOO, IA 50702-5634
(319) 272-5000
(319) 272-5825
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036-100466
IL
207K00000X
Allergy & Immunology Physician
Primary
32545
IA
208000000X
Pediatrics Physician
036-100466
IL
208000000X
Pediatrics Physician
32545
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203896410
—
MO
01
—
33628
BLUE CROSS BLUE SHIELD
—
01
—
421527584
TRI-CARE GROUP NUMBER
—
05
—
421527584003
—
IL
01
—
42152758408
JOHN DEERE
—
05
—
O278374
—
IA
Enumeration date
05/27/2005
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us