Organization
ALLEN MEMORIAL HOSPITAL CORP
Active
Other names
Allen Occupational Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A. SEIDLER (PRESIDENT & CEO)
(319) 235-3987
Entity
Organization
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3885
(319) 235-3137
Mailing address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3885
(319) 235-3137
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22487
WELLMARK/BCBS OF IOWA
IA
Enumeration date
09/11/2007
Last updated
09/11/2007
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