Organization
MEDICAL ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MARIE SCHUTTE PA-C (PHYSICIAN ASSISTANT)
(402) 212-9418
Entity
Organization
Contact information
Practice address
201 RIDGE ST, SUITE 102, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5565
(712) 322-5566
Mailing address
201 RIDGE ST STE 102, COUNCIL BLUFFS, IA 51503-4643
(712) 396-4359
(712) 396-7888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067520
—
IA
Enumeration date
08/24/2006
Last updated
10/17/2023
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