North Corridor Internal Medicine P.c. | |
2591 Holiday Rd Coralville IA 52241-3039 | |
(319) 341-9778 | |
(319) 341-9795 |
Full Name | North Corridor Internal Medicine P.c. |
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Speciality | Internal Medicine |
Location | 2591 Holiday Rd, Coralville, Iowa |
Authorized Official Name and Position | Gregory Thomas Bozek (OWNER/MANAGER/PROVIDER) |
Authorized Official Contact | 3193419778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Corridor Internal Medicine P.c. 2591 Holiday Rd Coralville IA 52241-3039 Ph: (319) 341-9778 | North Corridor Internal Medicine P.c. 2591 Holiday Rd Coralville IA 52241-3039 Ph: (319) 341-9778 |
NPI Number | 1508114992 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 10/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508114992 | NPI | - | NPPES |
1175943 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21179 (Iowa) | Primary |
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