Individual
DR. PATRICIA C CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2055 KIMBALL AVE, SUITE 100, WATERLOO, IA 50702-5014
(319) 272-2112
(319) 272-2107
Mailing address
2055 KIMBALL AVE, SUITE 100, WATERLOO, IA 50702-5014
(319) 272-2112
(319) 272-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21128
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195354
—
IA
01
—
1187664
AAFP ID#
—
Enumeration date
07/07/2005
Last updated
10/06/2008
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