NPI 1023063963
Orthopedics & Sports Medicine Plc
Practice location
- Address
- 1223 S Gear Ave Eastman Plaza-Suite 101, West Burlington, IA 52655-1682
- Phone
- (319) 753-5352
- Fax
- (319) 753-0462
- Mailing address
- 2213 Grand Ave, Des Moines, IA 50312-5305
Authorised official
- Name
- Mitchell Holiday Paul
- Title
- President and Ceo
- Phone
- (319) 753-5352
Registered specialties (2)
Orthopaedic Surgery Physician
Primary
Physician Assistant
Registry record
- NPI
- 1023063963
- Entity type
- Organization
- NPI issued
- 22 May 2006
- Record last updated
- 23 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.