Affiliates Of Family Practice Of Cedar Rapids
Family Medicine in Cedar Rapids, IA. Organization (NPI-2).
NPI number1699880138
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1699880138
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliates Of Family Practice Of Cedar Rapids
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 22198 | IA | Yes |
| 207Q00000X | Family Medicine | 34383 | IA |
Other names
- Affiliates Of Family Practice (Doing Business As)
Practice location
1030 5th Avenue SeSuite 1700
Cedar Rapids, IA 52403
Phone 319-364-7730 · Fax 319-364-0240
Mailing address
1030 5th Avenue SeSuite 1700
Cedar Rapids, IA 52403
Phone 319-364-7730 · Fax 319-364-0240
Authorized official
Kenneth Albert Cearlock
Partner Owner
3193647730
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