Organization
SURGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK A SHELMAN M.D. (PRESIDENT)
(319) 338-9247
Entity
Organization
Contact information
Practice address
510 E BLOOMINGTON ST, IOWA CITY, IA 52245-2803
(319) 338-9247
(319) 338-2785
Mailing address
510 E BLOOMINGTON ST, IOWA CITY, IA 52245-2803
(319) 338-9247
(319) 338-2785
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154716
—
IA
01
—
15471
BLUE CROSS #
IA
01
—
CS8759
MEDICARE RR #
IA
Enumeration date
03/27/2006
Last updated
03/11/2008
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