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Individual

MINYON R RITTGERS EASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
404 EAST BLOOMINGTON ST, IOWA CITY, IA 52245
(319) 351-1483
(319) 351-1027
Mailing address
404 EAST BLOOMINGTON ST, IOWA CITY, IA 52245
(319) 331-3522

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29689
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080111525
RAILROAD MEDICARE
IA
05
1093021
IA
Enumeration date
06/03/2006
Last updated
01/31/2020
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