Organization
OBRIA MEDICAL CLINIC OF AMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J ADAMS (BILLING SUPERVISOR)
(319) 850-2123
Entity
Organization
Contact information
Practice address
1606 GOLDEN ASPEN DR STE 105, AMES, IA 50010-8011
(515) 298-2073
Mailing address
1606 GOLDEN ASPEN DR STE 105, AMES, IA 50010-8011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497366231
—
IA
Enumeration date
08/14/2020
Last updated
02/07/2023
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