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Organization

INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBEN ALTMAN MD (PRESIDENT)
(712) 323-0062
Entity
Organization

Contact information

Practice address
25 S 15TH ST, SUITE 1, COUNCIL BLUFFS, IA 51501-3900
(712) 323-0062
(712) 323-5369
Mailing address
25 S 15TH ST, SUITE 1, COUNCIL BLUFFS, IA 51501-3900
(712) 323-0062
(712) 323-5369

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
19162
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092007
IA
Enumeration date
03/07/2008
Last updated
03/07/2008
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