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1795 Highway 64 E Ste 1 Anamosa IA 52205-2112 | |
(319) 481-6291 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1795 Highway 64 E Ste 1, Anamosa, Iowa |
Authorized Official Name and Position | Eric Briesemeister (CEO) |
Authorized Official Contact | 3194626131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1795 Highway 64 E Anamosa IA 52205-2112 Ph: (319) 462-6131 | 1795 Highway 64 E Ste 1 Anamosa IA 52205-2112 Ph: (319) 481-6291 |
NPI Number | 1275015208 |
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Provider Enumeration Date | 09/06/2018 |
Last Update Date | 09/10/2018 |
Medicare PECOS PAC ID | 4688572811 |
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Medicare Enrollment ID | O20181119003133 |
Identifier | Type | State | Issuer |
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1275015208 | NPI | - | NPPES |