Individual
ALICE XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402
(319) 368-5970
(319) 368-5973
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5074
(319) 368-5970
(319) 368-5973
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD-45102
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-45102
IOWA MEDICAL LICENSE
IA
Enumeration date
05/30/2015
Last updated
07/19/2018
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