Organization
NORTHERN IOWA UROLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A MONG MD (PRESIDENT-NORTHERN IOWA UROLOGICAL)
(319) 234-2649
Entity
Organization
Contact information
Practice address
3410 KIMBALL AVE, WATERLOO, IA 50702-5735
(319) 234-2649
(319) 233-2430
Mailing address
3410 KIMBALL AVE, WATERLOO, IA 50702-5735
(319) 234-2649
(319) 233-2430
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005165
—
IA
01
—
00516
BCBS OF IOWA
IA
01
—
CP8151
RAILROAD MEDICARE
IA
Enumeration date
10/24/2005
Last updated
11/08/2013
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