Organization
COUNCIL BLUFFS SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI NEAL (PRACTICE ADMINISTRATOR)
(712) 396-4395
Entity
Organization
Contact information
Practice address
201 RIDGE ST, SUITE 214, COUNCIL BLUFFS, IA 51503-4643
(712) 396-4320
Mailing address
201 RIDGE ST, SUITE 214, COUNCIL BLUFFS, IA 51503-4643
(712) 396-4320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
09/30/2010
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