Eastern Iowa Therapeutics P.c.
NPI #1689137085 in Vermillion, South Dakota
Provider Information
- NPI Number
- 1689137085
- Entity Type
- Organization
- Organization Name
- Eastern Iowa Therapeutics P.c.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Apr 11, 2019
Practice Location
- Address
- 440 E CHERRY ST
- City
- Vermillion
- State
- South Dakota
- ZIP Code
- 57069-1403
- Phone
- (605) 741-0003
Authorized Official
- Name
- JUANA GRANADOS
- Title
- CREDENTIALING MANAGER
- Phone
- (630) 575-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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