Individual
THOMAS GIBBONS SHREVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 E JEFFERSON ST, SUITE 102, IOWA CITY, IA 52245-2477
(319) 337-5997
(319) 358-2665
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3541
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26582
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053686
—
IA
01
—
55491
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/27/2006
Last updated
12/20/2012
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