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Organization

MARSHALLTOWN ORTHOPAEDICS PC

Active
Parent organization
MARSHALLTOWN ORTHOPAEDICS PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARSHALLTOWN ORTHOPAEDICS PC
Authorized official
MRS. KATHY A CLAWSON (OFFICE MANAGER)
(641) 752-7191
Entity
Organization

Contact information

Practice address
312 E MAIN ST, SUITE 2400, MARSHALLTOWN, IA 50158-1888
(641) 752-7191
(641) 752-2781
Mailing address
312 E MAIN ST, SUITE 2400, MARSHALLTOWN, IA 50158-1888
(641) 752-7191
(641) 752-2781

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0078436
IA
01
0299100001
MEDICARE DURABLE MED EQUI
IA
01
07843
WELLMARK BCBS
IA
Enumeration date
08/26/2005
Last updated
09/24/2007
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