Individual
THOMAS FRANCIS CHEATLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-6111
(712) 396-7026
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21078
NE
207P00000X
Emergency Medicine Physician
Primary
36015
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01031
BCBS
—
05
—
1750331369
—
IA
05
—
42068035512
—
IA
Enumeration date
05/12/2006
Last updated
12/13/2013
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