Organization
PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.
Active
Parent organization
PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, P.C.
Authorized official
PATRICK B BECK MD (OWNER)
(712) 255-8901
Entity
Organization
Contact information
Practice address
2534 GLENN AVE, SIOUX CITY, IA 51106
(712) 274-7822
(712) 274-2556
Mailing address
1125 PIERCE ST, SIOUX CITY, IA 51105
(712) 255-8901
(712) 255-9161
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
09/17/2012
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