Individual
ELIZABETH A MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-2770
Mailing address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
(712) 279-2770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32465
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040593
WELLMARK BCBS
SD
05
—
1197269
—
IA
01
—
12784
MIDLANDS CHOICE
—
01
—
21139
SIOUX VALLEY
SD
01
—
47802
WELLMARK BCBS
IA
05
—
75305796315
—
NE
01
—
75305796357049A002
TRICARE
—
05
—
7771053
—
SD
01
—
9211188
DAKOTA CARE
SD
Enumeration date
04/01/2006
Last updated
05/20/2016
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