Organization
SALLY M PINNICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY PINNICK MD (OWNER)
(515) 224-2055
Entity
Organization
Contact information
Practice address
1000 73RD ST, SUITE 8, WINDSOR HEIGHTS, IA 50311-1321
(515) 224-2055
(515) 224-2387
Mailing address
1000 73RD ST, SUITE 8, WINDSOR HEIGHTS, IA 50311-1321
(515) 224-2055
(515) 224-2387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23537
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1082750
—
IA
Enumeration date
12/06/2006
Last updated
08/22/2020
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