Organization
IOWA RADIOLOGY, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY SHEPHERD (BILLING OFFICE MANAGER)
(515) 226-7426
Entity
Organization
Contact information
Practice address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Mailing address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230813
—
IA
Enumeration date
05/02/2006
Last updated
11/04/2022
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