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Organization

DIGESTIVE AND LIVER DISEASE CONSULTANTS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KOREEN KAY LEMASTER RAYL B.S.N., RN (PRACTICE MANAGER)
(515) 223-4823
Entity
Organization

Contact information

Practice address
1601 NW 114TH ST, STE 342, CLIVE, IA 50325-7007
(515) 223-4823
(515) 223-0482
Mailing address
1601 NW 114TH ST, STE 342, CLIVE, IA 50325-7007
(515) 223-4823
(515) 223-0482

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0243857
IA
Enumeration date
08/04/2005
Last updated
08/22/2020
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