Organization
DAVID S. TEARSE M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. TEARSE M.D. (OWNER)
(319) 366-5633
Entity
Organization
Contact information
Practice address
112 14TH ST SE, CEDAR RAPIDS, IA 52403-4025
(319) 366-5633
(319) 366-2142
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942409172
—
IA
01
—
611562900
OWCP
IA
01
—
DG2519
RAILROAD MEDICARE
IA
Enumeration date
07/17/2007
Last updated
05/23/2016
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