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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