Individual
CONNIE SUE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 363-6314
(319) 353-7788
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 363-6314
(319) 353-7788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001721
IA
Other
Enumeration date
08/24/2006
Last updated
11/26/2007
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