| Family Practice Center | |
|
610 8th St Se Cedar Rapids IA 52401-2143 | |
| (319) 398-6170 | |
| (319) 398-6466 |
| Full Name | Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 610 8th St Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Philip Peterson (SR. VICE PRESIDENT/CFO FINANCE) |
| Authorized Official Contact | 3193986793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center 610 8th St Se Cedar Rapids IA 52401-2143 Ph: (319) 398-6170 | Family Practice Center 610 8th St Se Cedar Rapids IA 52401-2143 Ph: (319) 398-6170 |
| NPI Number | 1518946953 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518946953 | NPI | - | NPPES |
| 021683 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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