Organization
SURGICAL CLINIC OF SOUTHERN IOWA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL R. SOKOL DO (OWNER)
(641) 774-7730
Entity
Organization
Contact information
Practice address
1812 COURT AVE, CHARITON, IA 50049-1904
(641) 774-7730
(515) 334-7528
Mailing address
2231 NW 108TH ST, CLIVE, IA 50325-3729
(515) 334-7524
(515) 334-7528
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02942
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188508
—
IA
05
—
2188508
—
IA
01
—
41239
WELLMARK
IA
Enumeration date
10/18/2006
Last updated
08/22/2020
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