Organization
PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF ORTHOAPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA S COOPER (CEO)
(319) 398-1772
Entity
Organization
Contact information
Practice address
600 7TH ST SE, CEDAR RAPIDS, IA 52401-2112
(319) 398-1500
(319) 398-1558
Mailing address
600 7TH ST SE, CEDAR RAPIDS, IA 52401-2112
(319) 398-1500
(319) 398-1558
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56465
WELLMARK GROUP NUMBER
IA
Enumeration date
01/16/2007
Last updated
08/22/2020
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