| Family Medicine Of Cedar Valley, Pc | |
|
4719 Ansborough Ave Waterloo IA 50701-9039 | |
| (319) 230-4959 | |
| (319) 449-3048 |
| Full Name | Family Medicine Of Cedar Valley, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4719 Ansborough Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Darron Paul Cutler (PRESIDENT) |
| Authorized Official Contact | 3192662888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Cedar Valley, Pc 4719 Ansborough Ave Waterloo IA 50701-9039 Ph: (319) 230-4959 | Family Medicine Of Cedar Valley, Pc 4719 Ansborough Ave Waterloo IA 50701-9039 Ph: (319) 230-4959 |
| NPI Number | 1932380334 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 4688643307 |
|---|---|
| Medicare Enrollment ID | O20040929000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932380334 | NPI | - | NPPES |
| 4097667 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03057 (Iowa) | Primary |
| Provider Name | Darron Paul Cutler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396853750 PECOS PAC ID: 8123152428 Enrollment ID: I20100820000928 |
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