Organization
CEDAR RAPIDS OB-GYN SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DINNEL (OFFICE MANAGER)
(319) 730-9207
Entity
Organization
Contact information
Practice address
788 8TH AVE SE STE 100, CEDAR RAPIDS, IA 52401-2106
(319) 363-2682
(319) 363-1473
Mailing address
1260 3RD AVE SE, CEDAR RAPIDS, IA 52403-4010
(319) 363-2682
(319) 363-1473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217364
—
IA
Enumeration date
01/03/2007
Last updated
03/25/2024
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