Individual
DR. FRED JOHN PILCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1545
(319) 399-2039
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19321
IA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
19321
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56484
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
06/27/2005
Last updated
01/21/2014
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