Organization
RESPIRATORY & CRITICAL CARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY JO MAHONEY (OFFICE MANAGER)
(319) 286-4364
Entity
Organization
Contact information
Practice address
1026 A AVE NE, SUITE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 286-4364
(319) 558-4996
Mailing address
PO BOX 8305, DES MOINES, IA 50301-8305
(319) 286-4364
(319) 558-4996
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
104824
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31181
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
78725
IA
207RP1001X
Pulmonary Disease Physician
104824
IA
207RP1001X
Pulmonary Disease Physician
Primary
31181
IA
207RP1001X
Pulmonary Disease Physician
78725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00750729
RR MEDICARE
IA
Enumeration date
07/16/2009
Last updated
10/22/2009
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