Organization
ST. LUKE'S METHODIST HOSPITAL
Active
Other names
St. Luke's Medical Group Services
Organization subpart
No
Provider details
NPI number
Authorized official
MILT AUNAN (CFO)
(319) 369-7094
Entity
Organization
Contact information
Practice address
1026 A AVE NE, SUITE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 368-5757
Mailing address
PO BOX 14541, DES MOINES, IA 50306-3541
(515) 471-9373
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467977
—
IA
Enumeration date
08/16/2006
Last updated
02/18/2009
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