Iowa Physicians Clinic Medical Foundation

NPI #1619309325 in Johnston, Iowa

Provider Information

NPI Number: 1619309325
Entity Type: Organization
Organization Name: Iowa Physicians Clinic Medical Foundation
Primary Specialty: General Practice
Enumeration Date: Aug 5, 2013
Last Updated: Aug 5, 2013

Practice Location

Address: 8101 BIRCHWOOD CT
Address 2: SUITE N
City: Johnston
State: Iowa
ZIP Code: 50131-2930
Phone: (515) 471-9300

Authorized Official

Name: ERICK LAINE
Title: EXEC VP/COO
Phone: (515) 471-9227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Dental Public Health — Dental Public Health	1223D0001X
Emergency Medicine	207P00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Neurological Surgery	207T00000X
Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine	2080N0001X
Hospitalist	208M00000X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
General Practice	208D00000X	Primary

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