Organization
WESTERN IOWA SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CULLEN (OFFICE MANAGER)
(712) 792-0480
Entity
Organization
Contact information
Practice address
311 S CLARK ST, SUITE 280, CARROLL, IA 51401-3038
(712) 792-0480
(712) 792-1318
Mailing address
311 S CLARK ST, SUITE 280, CARROLL, IA 51401-3038
(712) 792-0480
(712) 792-1318
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02944
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451435
—
IA
Enumeration date
07/18/2007
Last updated
10/21/2011
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