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Individual

JOSEFINA L HIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2700 CORAL RIDGE AVENUE, IOWA MEDICAL AND CLASSIFICATION CENTER, CORALVILLE, IA 52241
(319) 626-2391
(319) 665-6721
Mailing address
2700 CORAL RIDGE AVENUE, IMCC, CORALVILLE, IA 52241
(319) 626-2391
(319) 665-6721

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18517
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30617
MEDICARE GROUP PTAN
IA
01
I16520
MEDICARE PTAN
IA
Enumeration date
10/24/2006
Last updated
10/02/2014
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