| Affiliates Of Family Practice | |
|
1030 5th Avenue Se Suite 1700 Cedar Rapids IA 52403 | |
| (319) 364-7730 | |
| (319) 364-0240 |
| Full Name | Affiliates Of Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1030 5th Avenue Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Kenneth Albert Cearlock (PARTNER OWNER) |
| Authorized Official Contact | 3193647730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliates Of Family Practice 1030 5th Avenue Se Suite 1700 Cedar Rapids IA 52403 Ph: (319) 364-7730 | Affiliates Of Family Practice 1030 5th Avenue Se Suite 1700 Cedar Rapids IA 52403 Ph: (319) 364-7730 |
| NPI Number | 1699880138 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699880138 | NPI | - | NPPES |
| 0253740 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22198 (Iowa) | Primary |
| 207Q00000X | Family Medicine | 34383 (Iowa) | Secondary |
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