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Organization

GLEASON DIAGNOSTIC IMAGING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG A HAAR (MANAGER)
(515) 230-3363
Entity
Organization

Contact information

Practice address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-3140
(515) 433-8916
Mailing address
PO BOX 2085, SIOUX CITY, IA 51104-0085
(515) 230-3363
(712) 239-3711

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2676
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0415497
IA
Enumeration date
10/20/2006
Last updated
08/22/2020
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