Organization
HRA-IQ PC
Active
Organization
HRA-IQ PC
Active
Parent organization
HRA-IQ INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HRA-IQ INC
Authorized official
MR. STEVE PONTIUS (CEO)
(612) 741-2793
Entity
Organization
Contact information
Practice address
4600 W 77TH ST, #355, EDINA, MN 55435-4909
(612) 741-2793
Mailing address
4600 W 77TH ST, #355, EDINA, MN 55435-4909
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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