Individual
MS. TERESA R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6911 C AVE NE, CEDAR RAPIDS, IA 52402-1349
(319) 832-1463
(319) 832-1469
Mailing address
PO BOX 1455, DES MOINES, IA 50306-1455
(515) 471-9273
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001384
CT
Other
Enumeration date
08/10/2006
Last updated
09/11/2009
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