Individual
TERESA J PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 S CLINTON ST STE 168, IOWA CITY, IA 52240-4034
(319) 384-0520
(319) 384-0603
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-7150
(319) 467-7140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002031
IA
363AS0400X
Surgical Physician Assistant
002031
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114147915
—
IA
Enumeration date
04/26/2007
Last updated
12/15/2023
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