| The Gastroenterology Clinic, Plc | |
|
1223 S Gear Ave Suite 201 West Burlington IA 52655-1682 | |
| (319) 758-9075 | |
| (319) 758-9079 |
| Full Name | The Gastroenterology Clinic, Plc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1223 S Gear Ave, West Burlington, Iowa |
| Authorized Official Name and Position | Daniel Peasley (PHYSICIAN) |
| Authorized Official Contact | 3197589075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gastroenterology Clinic, Plc 1223 S Gear Ave Suite 201 West Burlington IA 52655-1682 Ph: (319) 758-9075 | The Gastroenterology Clinic, Plc 1223 S Gear Ave Suite 201 West Burlington IA 52655-1682 Ph: (319) 758-9075 |
| NPI Number | 1215979919 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215979919 | NPI | - | NPPES |
| 1151191 | Medicaid | IA | |
| 58751 | Other | IA | BLUE CROSS |
| DE9199 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 03066 (Iowa) | Primary |
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