| |
3465 Mulberry Ave Muscatine IA 52761-2324 | |
(319) 356-4400 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 3465 Mulberry Ave, Muscatine, Iowa |
Authorized Official Name and Position | Philip E Roudabush (DIRECTOR, PATIENT FINANCIAL SERVICE) |
Authorized Official Contact | 3193842334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Hawkins Dr Iowa City IA 52242-1007 Ph: () - | 3465 Mulberry Ave Muscatine IA 52761-2324 Ph: (319) 356-4400 |
NPI Number | 1609191238 |
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Provider Enumeration Date | 04/07/2010 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1609191238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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