Surgical Clinic Of Southern Iowa, Pc in Chariton - Surgery

Surgical Clinic Of Southern Iowa, Pc - NPI 1700967510

Surgical Clinic Of Southern Iowa, Pc is a Surgery in Chariton, Iowa. Surgical Clinic Of Southern Iowa, Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Surgical Clinic Of Southern Iowa, Pc is 1700967510. The last update date is 2020-08-22.

Surgical Clinic Of Southern Iowa, Pc's current location address is 1812 Court Ave, Chariton, Iowa. You can contact this provider via phone number 6417747730 and fax number 5153347528. The mailing address for Surgical Clinic Of Southern Iowa, Pc is 1812 Court Ave, Chariton, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Surgical Clinic Of Southern Iowa, Pc
Address 1812 Court Ave, Chariton, Iowa
Phone Number 6417747730
Fax Number 5153347528
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Sokol R. Neal
Credentials DO
Telephone Number 6417747730

NPI Number Detail

NPI Number 1700967510
Provider Enumeration Date 2006-10-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1812 Court Ave
City Chariton
State Iowa (IA)
Post Code 500491904
Phone Number 6417747730
Fax Number 5153347528

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 2942
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1188508 IA --
2188508 IA --
41239 IA WELLMARK

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FAQs about Surgical Clinic Of Southern Iowa, Pc

What is the unique 10-digit identification code assigned to Surgical Clinic Of Southern Iowa, Pc by the Centers for Medicare & Medicaid Services?

The Surgical Clinic Of Southern Iowa, Pc has been issued the NPI (National Provider Identifier) 1700967510, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Surgical Clinic Of Southern Iowa, Pc's physical address?

The Surgical Clinic Of Southern Iowa, Pc is physically located at 1812 Court Ave, in the city of Chariton, IA, with the postal code 500491904.

What is the Surgical Clinic Of Southern Iowa, Pc's area of specialization and corresponding taxonomy classification?

The Surgical Clinic Of Southern Iowa, Pc's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1700967510 to Surgical Clinic Of Southern Iowa, Pc?

The Centers for Medicare & Medicaid Services assigned the 1700967510 to Surgical Clinic Of Southern Iowa, Pc on 2006-10-18.

As of what date was the information pertaining to Surgical Clinic Of Southern Iowa, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Surgical Clinic Of Southern Iowa, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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