NPI: 1306920319
Provider Name: PRAIRIE PEDIATRICS, PC
Doing Business As: PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, PC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization
Specialization: Pediatric Cardiology
CLIA Number: 16D0385234
Address:
1125 PIERCE ST
SIOUX CITY, IA
ZIP 51105
Phone: (712) 255-8901
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PRAIRIE PEDIATRICS, PC is a pediatric cardiology pediatrics in Sioux City, IA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PRAIRIE PEDIATRICS, PC NPI is 1306920319. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prairie Pediatrics & Adolescent Clinic, Pc.
The provider's business location address is:
1125 PIERCE ST
SIOUX CITY, IA
ZIP 51105-485
Phone: (712) 255-8901
Fax: (712) 255-9161
The provider's authorized official is Melanie Olsen .
The authorized official title is Business Manager and has the following contact phone number (712) 255-8901.
The CLIA number assigned to this NPI record is 16D0385234 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/25/2006 and was last updated on 1/27/2015.