Individual
DR. KENT R OPHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 SAINT FRANCIS DR, SUITE 210, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-5282
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19489
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146381
—
IA
Enumeration date
06/22/2006
Last updated
07/16/2007
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