Organization
THE TEGGATZ CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA TEGGATZ M.D. (OWNER/DOCTOR)
(319) 393-4307
Entity
Organization
Contact information
Practice address
5100 FOUNTAINS DR NE, SUITE 102, CEDAR RAPIDS, IA 52411-6603
(319) 393-4307
Mailing address
5100 FOUNTAINS DR NE, SUITE 102, CEDAR RAPIDS, IA 52411-6603
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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