Organization
PHYSMED IOWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB KEITH PANOWICZ (OWNER/CEO)
(402) 926-4088
Entity
Organization
Contact information
Practice address
1130 S SCOTT BLVD, IOWA CITY, IA 52240-2907
(402) 320-3939
(402) 926-4197
Mailing address
4905 S 107TH AVE STE 200, OMAHA, NE 68127-1965
(402) 926-4088
(402) 926-4197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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