Individual
DR. PATRICK M. O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 - 10TH ST SE, SUITE 150, CEDAR RAPIDS, IA 52403-2449
(319) 363-3600
(319) 363-9971
Mailing address
411 - 10TH ST SE, SUITE 150, CEDAR RAPIDS, IA 52403-2449
(319) 363-3600
(319) 363-9971
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22112
NE
208000000X
Pediatrics Physician
Primary
27407
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079049100
—
NE
Enumeration date
12/29/2005
Last updated
09/17/2012
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