Affiliates of Family Practice of Cedar Rapids
NPI #1699880138 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1699880138
- Entity Type
- Organization
- Organization Name
- Affiliates of Family Practice of Cedar Rapids
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1030 5TH AVENUE SE
- Address 2
- SUITE 1700
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52403
- Phone
- (319) 364-7730
Authorized Official
- Name
- MR. KENNETH ALBERT CEARLOCK, MD
- Title
- PARTNER OWNER
- Phone
- (319) 364-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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