Southeast Iowa Neurological Associates, P.c. | |
2000 S Main St Fairfield IA 52556-9572 | |
(641) 469-4410 | |
(641) 470-1602 |
Full Name | Southeast Iowa Neurological Associates, P.c. |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 2000 S Main St, Fairfield, Iowa |
Authorized Official Name and Position | Michael Leon Pogel (PRESIDENT) |
Authorized Official Contact | 6414694410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeast Iowa Neurological Associates, P.c. 2000 S Main St Fairfield IA 52556-9572 Ph: (641) 469-4410 | Southeast Iowa Neurological Associates, P.c. 2000 S Main St Fairfield IA 52556-9572 Ph: (641) 469-4410 |
NPI Number | 1831208636 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 07/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831208636 | NPI | - | NPPES |
0119412 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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