Organization
RURAL IOWA SPECIALTY PHYSICIANS CONSORTIUM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN SHELTON (EXECUTIVE DIRECTOR)
(515) 241-4044
Entity
Organization
Contact information
Practice address
4949 PLEASANT STREET, SUITE 200, WEST DES MOINES, IA 50266-5494
(515) 225-7001
Mailing address
5409 NW 88TH ST, SUITE 200, JOHNSTON, IA 50131-2949
(515) 362-5980
(515) 362-5985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
05/22/2008
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