Organization
SOUTHWEST IOWA SPINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP K NAROTAM MD (PRESIDENT)
(712) 328-5350
Entity
Organization
Contact information
Practice address
800 MERCY DR, SUITE 110, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5350
Mailing address
800 MERCY DR, SUITE 110, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35420
IA
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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