Organization
BLUFFS OBGYN AND INCONTINENCE CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL L MCINTYRE D.O. (D.O./PRESIDENT)
(712) 256-8080
Entity
Organization
Contact information
Practice address
300 W BROADWAY, SUITE 111, COUNCIL BLUFFS, IA 51503-9066
(712) 256-8080
(712) 256-8082
Mailing address
300 W BROADWAY, SUITE 111, COUNCIL BLUFFS, IA 51503-9066
(712) 256-8080
(712) 256-8082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003868639
—
IA
Enumeration date
05/16/2006
Last updated
11/30/2011
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