Organization
GASTROENTEROLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT S CONVEY (OFFICE MANAGER)
(319) 366-8695
Entity
Organization
Contact information
Practice address
931 8TH AVE SE, CEDAR RAPIDS, IA 52401-2121
(319) 366-8695
(319) 366-0795
Mailing address
931 8TH AVE SE, CEDAR RAPIDS, IA 52401-2121
(319) 366-8695
(319) 366-0795
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271742
—
IA
Enumeration date
01/03/2006
Last updated
09/04/2007
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