Organization
TOWNCREST INTERNAL MEDICINE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MICHAEL COOPER (ADMINISTRATOR)
(319) 338-7862
Entity
Organization
Contact information
Practice address
2460 TOWNCREST DR, IOWA CITY, IA 52240-6622
(319) 338-7862
Mailing address
2460 TOWNCREST DR, IOWA CITY, IA 52240-6622
(319) 338-7862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
BCBS GROUP NO.
IA
Enumeration date
07/17/2006
Last updated
10/17/2007
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