| North Corridor Internal Medicine P.c. | |
|
2591 Holiday Rd Coralville IA 52241-3039 | |
| (319) 341-9778 | |
| (319) 341-9795 |
| Full Name | North Corridor Internal Medicine P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2591 Holiday Rd, Coralville, Iowa |
| Authorized Official Name and Position | Gregory Thomas Bozek (OWNER/MANAGER/PROVIDER) |
| Authorized Official Contact | 3193419778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Corridor Internal Medicine P.c. 2591 Holiday Rd Coralville IA 52241-3039 Ph: (319) 341-9778 | North Corridor Internal Medicine P.c. 2591 Holiday Rd Coralville IA 52241-3039 Ph: (319) 341-9778 |
| NPI Number | 1508114992 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508114992 | NPI | - | NPPES |
| 1175943 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21179 (Iowa) | Primary |
Queenyee Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 22nd Ave Rear Unit, Coralville, IA 52241 Phone: 319-594-2545 | |
Jill H Scholz Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 12th Ave, Suite 203, Coralville, IA 52241 Phone: 319-341-3668 Fax: 319-354-1014 |