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Organization

PCI AUDIOLOGY CLINIC

Active
Parent organization
PHYSICIANS' CLINIC OF IOWA, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYSICIANS' CLINIC OF IOWA, PC
Authorized official
SANDRA J SPARENBORG (DIRECTOR OF FINANCE)
(319) 398-1563
Entity
Organization

Contact information

Practice address
901 8TH AVE SE, CEDAR RAPIDS, IA 52401-2121
(319) 399-2022
(319) 399-2014
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 399-2022
(319) 399-2014

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
00550
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56461
GROUP NUMBER
IA
Enumeration date
08/17/2009
Last updated
08/17/2009
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