Organization
SOUTHEAST IOWA NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization
SOUTHEAST IOWA NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEON POGEL M.D. (PRESIDENT)
(641) 469-4410
Entity
Organization
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4410
(641) 470-1602
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4410
(641) 470-1602
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119412
—
IA
Enumeration date
08/29/2006
Last updated
07/06/2012
Update your record
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