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HRA-IQ PC NPI 1891174751


NPI Information

NPI: 1891174751
Provider Name: HRA-IQ PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4600 W 77TH ST
#355
EDINA, MN
ZIP 55435
Phone: (612) 741-2793
Get Directions

HRA-IQ PC is a geriatric medicine family medicine in Edina, MN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. HRA-IQ PC NPI is 1891174751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4600 W 77TH ST
#355
EDINA, MN
ZIP 55435-909
Phone: (612) 741-2793

The provider's authorized official is Steve Pontius .
The authorized official title is Ceo and has the following contact phone number (612) 741-2793.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

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: 11/14/2023

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