Internal Medicine Consultants, P.c. | |
1700 W Townline St Suite 1 Creston IA 50801-1054 | |
(641) 782-6440 | |
(641) 782-6515 |
Full Name | Internal Medicine Consultants, P.c. |
---|---|
Speciality | Physician Assistant |
Location | 1700 W Townline St, Creston, Iowa |
Authorized Official Name and Position | Thomas Paul Young (PHYSICIAN) |
Authorized Official Contact | 6417826440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine Consultants, P.c. 1700 W Townline St Suite 1 Creston IA 50801-1054 Ph: (641) 782-6440 | Internal Medicine Consultants, P.c. 1700 W Townline St Suite 1 Creston IA 50801-1054 Ph: (641) 782-6440 |
NPI Number | 1972533917 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972533917 | NPI | - | NPPES |
02185 | Other | IA | IOWA LICENSE NUMBER |
1031757 | Medicaid | IA | |
001293 | Other | IA | IOWA LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 02185 (Iowa) | Primary |
363A00000X | Physician Assistant | 001293 (Iowa) | Primary |
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