Individual
BRADLEY J VANVOORHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
53 HUNTERS PL, IOWA CITY, IA 52246-8671
(319) 621-1994
Mailing address
53 HUNTERS PL, IOWA CITY, IA 52246-8671
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
27480
IA
207VE0102X
Reproductive Endocrinology Physician
27480
IA
207VE0102X
Reproductive Endocrinology Physician
Primary
71612
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297663
—
IA
01
—
29766
WELLMARK BCBS
IA
Enumeration date
09/02/2005
Last updated
12/02/2020
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