Organization
NORTH CORRIDOR INTERNAL MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY THOMAS BOZEK M.D. (OWNER/MANAGER/PROVIDER)
(319) 341-9778
Entity
Organization
Contact information
Practice address
2591 HOLIDAY RD, CORALVILLE, IA 52241-3039
(319) 341-9778
(319) 341-9795
Mailing address
2591 HOLIDAY RD, CORALVILLE, IA 52241-3039
(319) 341-9778
(319) 341-9795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21179
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175943
—
IA
Enumeration date
08/16/2012
Last updated
10/01/2012
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