Gastroenterology Associates Pc | |
2222 53rd Avenue Bettendorf IA 52753 | |
(563) 383-2686 | |
(563) 884-8144 |
Full Name | Gastroenterology Associates Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 2222 53rd Avenue, Bettendorf, Iowa |
Authorized Official Name and Position | Erling Larson (MEDICAL DIRECTOR) |
Authorized Official Contact | 5633832686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gastroenterology Associates Pc 2222 53rd Avenue Bettendorf IA 52753 Ph: (563) 383-2686 | Gastroenterology Associates Pc 2222 53rd Avenue Bettendorf IA 52753 Ph: (563) 383-2686 |
NPI Number | 1821022161 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821022161 | NPI | - | NPPES |
0455097 | Medicaid | IA | |
71951 | Other | IA | MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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