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PULMONARY INFECTIOUS DISEASE ASSOCIATES PC NPI 1083755821


NPI Information

NPI: 1083755821
Provider Name: PULMONARY INFECTIOUS DISEASE ASSOCIATES PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1 EDMUNDSON PL
SUITE 312
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-4295
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PULMONARY INFECTIOUS DISEASE ASSOCIATES PC is a pulmonary disease internal medicine in Council Bluffs, IA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PULMONARY INFECTIOUS DISEASE ASSOCIATES PC NPI is 1083755821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 EDMUNDSON PL
SUITE 312
COUNCIL BLUFFS, IA
ZIP 51503-658
Phone: (712) 396-4295
Fax: (712) 396-4298

The provider's authorized official is Leslie A Southard .
The authorized official title is Ofc Mgr Assistant Sec Treas and has the following contact phone number (712) 366-5709.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10297150MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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