Digestive And Liver Disease Consultants, P.c. | |
1601 Nw 114th St Ste 342 Clive IA 50325-7007 | |
(515) 223-4823 | |
(515) 223-0482 |
Full Name | Digestive And Liver Disease Consultants, P.c. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1601 Nw 114th St, Clive, Iowa |
Authorized Official Name and Position | Koreen Kay Lemaster Rayl (PRACTICE MANAGER) |
Authorized Official Contact | 5152234823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Digestive And Liver Disease Consultants, P.c. 1601 Nw 114th St Ste 342 Clive IA 50325-7007 Ph: (515) 223-4823 | Digestive And Liver Disease Consultants, P.c. 1601 Nw 114th St Ste 342 Clive IA 50325-7007 Ph: (515) 223-4823 |
NPI Number | 1053312603 |
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Provider Enumeration Date | 08/04/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053312603 | NPI | - | NPPES |
0243857 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (Iowa) | Primary |
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