Organization
IOWA EAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN E MOSTROM COPM (PRACTICE MANAGER)
(515) 207-4026
Entity
Organization
Contact information
Practice address
12499 UNIVERSITY AVE, SUITE 200, CLIVE, IA 50325-8288
(515) 418-9960
(515) 418-9107
Mailing address
12499 UNIVERSITY AVE, SUITE 200, CLIVE, IA 50325-8288
(515) 418-9960
(515) 418-9107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38032
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780818138
—
IA
Enumeration date
05/13/2009
Last updated
01/09/2020
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