is a Vascular & Interventional Radiology in Waterloo, Iowa. practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. 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 | |
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Address | 1825 Logan Ave, Waterloo, Iowa |
Phone Number | 3192353941 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1346292521 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1825 Logan Ave |
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City | Waterloo |
State | Iowa (IA) |
Post Code | 507031916 |
Phone Number | 3192353941 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Vascular & Interventional Radiology |
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Taxonomy | 2085R0204X |
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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401143 | IA | MEDICAID - NP GROUP | |
170142 | IA | -- | |
17014 | IA | WELLMARK BCBS/IOWA |
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