Individual
PAULA RENE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3886
(319) 233-1630
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29723
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108043
—
IA
01
—
42141730762
JOHN DEERE HEATH INS
IA
01
—
55087
WELLMARK INS
IA
Enumeration date
05/22/2006
Last updated
06/18/2015
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