Organization
IOWA PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L PAULSON (MD)
(712) 792-0040
Entity
Organization
Contact information
Practice address
405 S CLARK ST, STE 200, CARROLL, IA 51401-3047
(712) 792-0040
Mailing address
405 S CLARK ST, STE 200, CARROLL, IA 51401-3047
(712) 792-0040
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
22537
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210179
—
IA
01
—
08987
BLUE CROSS BLUE SHIELD
IN
Enumeration date
06/16/2005
Last updated
08/22/2020
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