Individual
GREGORY BOZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2769 HEARTLAND DR STE 205, CORALVILLE, IA 52241-2732
(319) 887-2900
(319) 887-2904
Mailing address
2769 HEARTLAND DR STE 205, CORALVILLE, IA 52241-2732
(319) 887-2900
(319) 887-2904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21179
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175943
—
IA
Enumeration date
01/10/2006
Last updated
08/27/2019
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