Whalio Doctors

NPI 1033183884

Surgical Associates, LLP

Organisation Surgery Physician Grinnell, IA

Practice location

Address
122 4th Ave, Grinnell, IA 50112-1829
Phone
(641) 236-4323
Fax
(641) 236-3411

Authorised official

Name
David Dwight Coster
Title
Chair
Phone
(641) 236-4323

Registered specialties (5)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 26205 (IA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 18984 (IA)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 28246 (IA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001646 (IA)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 001335 (IA)

Registry record

NPI
1033183884
Entity type
Organization
NPI issued
16 Feb 2006
Record last updated
11 May 2010

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.