Iowa City Plastic Surgery LLC

NPI #1073572640 in Coralville, Iowa

Provider Information

NPI Number: 1073572640
Entity Type: Organization
Organization Name: Iowa City Plastic Surgery LLC
Primary Specialty: Specialist
Enumeration Date: Mar 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 501 12TH AVE
Address 2: SUITE 102
City: Coralville
State: Iowa
ZIP Code: 52241-1774
Phone: (319) 337-3740

Authorized Official

Name: MRS. SANDY M BRENNEMAN
Title: OFFICE MANAGER
Phone: (319) 337-3740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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