Individual
HARVEY J TOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 E 2ND ST, IDA GROVE, IA 51445-1666
(712) 364-3311
Mailing address
105 SENECA ST, STORM LAKE, IA 50588-2549
(712) 732-8256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
017797
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197046
—
IA
01
—
04426
BLUE CROSS
IA
Enumeration date
01/22/2007
Last updated
07/09/2007
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