is a Hospice And Palliative Medicine in Waterloo, Iowa. practices all healthcare services and medical treatments related to Hospice And Palliative Medicine. The NPI Number for is 1346292521. The last update date is .
's current location address is 1825 Logan Ave, Waterloo, Iowa. You can contact this provider via phone number 3192353941. The mailing address for is 1825 Logan Ave, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1825 Logan Ave, Waterloo, Iowa |
| Phone Number | 3192353941 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346292521 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1825 Logan Ave |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 507031916 |
| Phone Number | 3192353941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Hospice And Palliative Medicine |
|---|---|
| Taxonomy | 207Rh0002X |
|
Definition: An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize qu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 401143 | IA | MEDICAID - NP GROUP | |
| 170142 | IA | -- | |
| 17014 | IA | WELLMARK BCBS/IOWA |
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