Individual
MARISOL ELIS SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
(808) 586-2890
(319) 384-6392
Mailing address
200 HAWKINS DR, DEPT. OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
R-11045
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2013
Last updated
06/26/2017
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