Organization
GREAT RIVER ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY R HILL MD (PRESIDENT)
(319) 752-1700
Entity
Organization
Contact information
Practice address
1225 S GEAR AVE, STE 256, WEST BURLINGTON, IA 52655-1691
(319) 752-1700
Mailing address
1225 S GEAR AVE, STE 256, WEST BURLINGTON, IA 52655-1691
(319) 752-1700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35185
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1290973
—
IA
01
—
240008
MIDLANDS CHOICE
IA
01
—
38470
BLUE CROSS IOWA
IA
01
—
DD0905
RAILROAD MEDICARE
IA
Enumeration date
10/24/2006
Last updated
08/22/2020
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