Individual
STEPHEN ECKSTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1601 NW 114TH ST, CLIVE, IA 50325-7007
(515) 222-7000
(515) 222-7037
Mailing address
6347 NE 46TH ST, ALTOONA, IA 50009-9488
(515) 222-7000
(515) 222-2737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01478
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089672
—
IA
Enumeration date
08/11/2006
Last updated
11/21/2016
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