Organization
IOWA CITY HEART CENTER, PC
Active
Organization
IOWA CITY HEART CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN MONTGOMERY CMPE (CHIEF EXECUTIVE OFFICER)
(319) 688-7887
Entity
Organization
Contact information
Practice address
540 E JEFFERSON ST STE 400, IOWA CITY, IA 52245-2479
(319) 339-3883
(319) 688-7304
Mailing address
540 E JEFFERSON ST STE 400, IOWA CITY, IA 52245-2479
(319) 339-3883
(319) 688-7304
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200769
—
IA
01
—
CA3899
RR MEDICARE PIN
—
Enumeration date
11/13/2006
Last updated
07/29/2010
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