Individual
AMANDA R TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
215 13TH AVE SW, CLARION, IA 50525-2078
(515) 532-2836
(515) 532-2523
Mailing address
215 13TH AVE SW, CLARION, IA 50525-2078
(515) 532-2836
(515) 532-2523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3583
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0283465
FAMILY PRACTICE CLINIC-MEDICAID
IA
01
—
0600460
WRIGHT MEDICAL CENTER-MEDICAID
IA
01
—
161302
WRIGHT MEDICAL CENTER-MEDICARE
IA
01
—
163495
FAMILY PRACTICE CLINIC-MEDICARE
IA
01
—
16Z302
WRIGHT MEDICAL CENTER-MEDICARE SKILLED
IA
Enumeration date
07/07/2005
Last updated
12/12/2008
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