Organization
MEDICAL ARTS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONAL DEAN HILL D.O. (PRESIDENT)
(641) 472-4156
Entity
Organization
Contact information
Practice address
2000B SOUTH MAIN ST, FAIRFIELD, IA 52556-3740
(641) 472-4156
(641) 472-9436
Mailing address
2000B SOUTH MAIN ST, PO BOX 1507, FAIRFIELD, IA 52556-3740
(641) 472-4156
(641) 472-9436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099820
—
IA
01
—
09982
WELLMARK BCBS GROUP #
IA
Enumeration date
10/18/2006
Last updated
06/19/2009
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