Individual
MR. JOHN R BIGELOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1500 E 10TH ST, ATLANTIC, IA 50022
(712) 243-2606
(712) 243-2688
Mailing address
1500 E 10TH ST, ATLANTIC, IA 50022
(712) 243-2606
(712) 243-2688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00889
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008938
—
IA
Enumeration date
01/31/2006
Last updated
01/10/2017
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