Individual
TARAH TRINITY COLAIZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3508
(319) 356-4508
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3508
(319) 356-4685
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35779
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445452
—
IA
01
—
37077
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
09/27/2007
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