is a Internal Medicine in Sioux City, Iowa. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1558571497. The last update date is .
's current location address is 600 4th Street, Sioux City, Iowa. You can contact this provider via phone number 7122557746 and fax number 7122550829. The mailing address for is 600 4th Street, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 600 4th Street, Sioux City, Iowa |
| Phone Number | 7122557746 |
| Fax Number | 7122550829 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558571497 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 600 4th Street |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511011415 |
| Phone Number | 7122557746 |
| Fax Number | 7122550829 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | R-7904 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 606 | IA | -- | |
| P01025432 | IA | RR MEDICARE |
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