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Organization

SURGICAL ASSOCIATES, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID DWIGHT COSTER M.D. (CHAIR)
(641) 236-4323
Entity
Organization

Contact information

Practice address
122 4TH AVE, GRINNELL, IA 50112-1829
(641) 236-4323
(641) 236-3411
Mailing address
122 4TH AVE, GRINNELL, IA 50112-1829
(641) 236-4323
(641) 236-3411

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18984
IA
208600000X
Surgery Physician
Primary
26205
IA
208800000X
Urology Physician
28246
IA
363A00000X
Physician Assistant
001646
IA
363AS0400X
Surgical Physician Assistant
001335
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0031088
IA
Enumeration date
02/16/2006
Last updated
05/11/2010
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