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Organization

MID IOWA ORTHOPAEDICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD WILLIAM CHARLES M.D. (OWNER)
(641) 787-9276
Entity
Organization

Contact information

Practice address
300 N 4TH AVE E, SUITE 140B, NEWTON, IA 50208-3155
(641) 787-9276
Mailing address
300 N 4TH AVE E, SUITE 140B, NEWTON, IA 50208-3155
(641) 787-9276

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27934
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002105
IA
Enumeration date
02/15/2008
Last updated
02/15/2008
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