Organization
PRACTICE OF FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DARRELL LOUVAR D.O. (PRESIDENT)
(319) 395-7878
Entity
Organization
Contact information
Practice address
1515 42ND ST NE, CEDAR RAPIDS, IA 52402-3061
(319) 395-7878
(319) 395-7898
Mailing address
1515 42ND ST NE, CEDAR RAPIDS, IA 52402-3061
(319) 395-7878
(319) 395-7898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01483
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
CHAMPUS
—
05
—
0400454
—
IA
01
—
12493
MIDLANDS
IA
01
—
1487731402
MEDICARE B
IA
01
—
179301
JOHN DEERE HEALTH CARE
—
01
—
49757
BLUE CROSS BLUE SHIELD IA
IA
01
—
5336687
AETNA
—
01
—
A00808
UPIN
—
Enumeration date
11/01/2006
Last updated
04/20/2008
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