Debra Susan Ely in Iowa City - Physician Assistant
Debra Susan Ely - NPI 1649266370
Debra Susan Ely is a Physician Assistant in Iowa City, Iowa. Debra Susan Ely practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Debra Susan Ely is 1649266370. The last update date is 2007-11-29.
Debra Susan Ely's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193563330 and fax number 3193538430. The mailing address for Debra Susan Ely is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Susan Ely |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193563330 |
| Fax Number | 3193538430 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1649266370 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193563330 |
| Fax Number | 3193538430 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1330 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26592 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the Debra Susan Ely's unique identification number?
The Debra Susan Ely has been assigned the NPI (National Provider Identifier) Number 1649266370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Debra Susan Ely's physical address?
The Debra Susan Ely is physically located at 200 Hawkins Dr, in the city of Iowa City, IA, with the postal code 522421009.
On what date did the Debra Susan Ely receive its 1649266370 assignment from the Centers for Medicare & Medicaid Services?
The Debra Susan Ely was assigned its 1649266370 by the Centers for Medicare & Medicaid Services on 2005-09-27.
As of what date were the Debra Susan Ely's details last updated?
The information pertaining to the Debra Susan Ely, including its address, specialty, and other details, was most recently updated on 2007-11-29.
As of what date were the details related to Debra Susan Ely most recently updated or revised?
The information pertaining to Debra Susan Ely, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-29.
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