NPI 1073572640

Iowa City Plastic Surgery LLC

Organisation Specialist Coralville, IA

Practice location

Address: 501 12th Ave Suite 102, Coralville, IA 52241-1774
Phone: (319) 337-3740

Authorised official

Name: Sandy M Brenneman
Title: Office Manager
Phone: (319) 337-3740

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence IA-19759 (IA)

Other Specialist providers in Iowa →

Registry record

NPI: 1073572640
Entity type: Organization
NPI issued: 21 Mar 2006
Record last updated: 22 Aug 2020

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.