Organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Active
Parent organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Other names
Westside Family Medicine & UC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Authorized official
ERICK J LAINE (COO)
(515) 471-9227
Entity
Organization
Contact information
Practice address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 396-3183
Mailing address
8101 BIRCHWOOD COURT, SUITE R, JOHNSTON, IA 50131-2930
(515) 471-9243
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
08/16/2012
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