Iowa Digestive Disease Center P.c.

NPI 1275571747 - Internal Medicine - 207RG0100X

NPI Details
NPI 1275571747
Enumeration Date 06/04/2006
Last Updated 05/05/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEANETTE A. JEANETTE
Position CEO
Phone (515) 288-6097
Fax (515) 288-8335
Practice Location
1378 NW 124TH STREET
SUITE 200
CLIVE IA, 50325, US
Phone (515) 288-6097
Fax (515) 288-8335
Business Location
1378 NW 124TH STREET
SUITE 200
CLIVE IA, 50325, US
Phone (515) 288-6097
Fax (515) 288-8335
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
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According to our database, Iowa Digestive Disease Center P.c. NPI is 1275571747, taxonomy code is 207RG0100X Iowa Digestive Disease Center P.c. physically located at 1378 Nw 124th Street, Clive IA, 50325. NPI Number 1033115704 has the healthcare provider type.

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1275571747 NPI number is provided on an as is basis without warranty of any kind. 1275571747 is maintained by the National Plan & Provider Enumeration System. The contents of Iowa Digestive Disease Center P.c. are for informational purposes only.