Individual
COSETTE SCALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ISU THOMAS B THIELEN STUDENT HEALTH CENTER, UNION & SHELDON, AMES, IA 50011-2260
(515) 294-5801
(515) 294-7180
Mailing address
ISU THOMAS B THIELEN STUDENT HEALTH CENTER, UNION & SHELDON, AMES, IA 50011-2260
(515) 294-5801
(515) 294-7180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26458
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051268
—
IA
01
—
02717
BCBS
IA
Enumeration date
12/18/2006
Last updated
07/08/2007
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