Organization
PHYSICIANS CHOICE DIAGNOSTIC SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY JOHN REUTZEL (OWNER)
(319) 365-0444
Entity
Organization
Contact information
Practice address
617 8TH AVENUE SE, SUITE B, CEDAR RAPIDS, IA 52401-2117
(319) 365-0444
(319) 365-1089
Mailing address
617 8TH AVENUE SE, SUITE B, CEDAR RAPIDS, IA 52401-2117
(319) 365-0444
(319) 365-1089
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/01/2006
Last updated
01/06/2012
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