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Organization

SOUTHEAST IOWA OPEN MRI

Active
Parent organization
SOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINE
Authorized official
MELISSA K GRAHAM (BUSINESS OFFICE SUPERVISOR)
(319) 752-8282
Entity
Organization

Contact information

Practice address
600 N MAIN ST, BURLINGTON, IA 52601-5012
(319) 752-8282
(319) 752-9005
Mailing address
600 N MAIN ST, BURLINGTON, IA 52601-5012
(319) 752-8282
(319) 752-9005

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2043539
IA
Enumeration date
03/09/2007
Last updated
07/21/2022
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