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Bastug Plastic Surgery Pc
Specialist in Waterloo, Iowa
NPI 1386654879

Bastug Plastic Surgery Pc is a Specialist based in Waterloo, IA. Bastug Plastic Surgery Pc practices in Waterloo, IA. The NPI Number for Bastug Plastic Surgery Pc is 1386654879 and holds a License No. 32236 (Iowa).

The current practice location address for Bastug Plastic Surgery Pc is 2710 Saint Francis Dr, Waterloo, IA and can be reached out via phone at 319-272-8550 and via fax at 319-272-8558.

Location: 2710 Saint Francis Dr, Waterloo, IA, 50702-5634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386654879
Provider Name
Bastug Plastic Surgery Pc
Credential
Provider Entity Type
Organization
Address
2710 Saint Francis Dr, Waterloo, IA, 50702-5634
Phone Number
319-272-8550
Fax Number
319-272-8558
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1162420 05 IA
32236 01 IA MEDICAL LICENSE
249985 01 IA MIDLAND'S CHOICE
IA0101 01 IA JOHN DEERE HEALTH CARE
41756 01 IA WELLMARK
institution
Provider Business Practice Location Address Details
Address
2710 Saint Francis Dr
City
Waterloo
State
Iowa
Zip
50702-5619
Phone Number
319-272-8550
Fax Number
319-272-8558
person
Provider Business Mailing Address Details
Address
2710 Saint Francis Dr
City
Waterloo
State
Iowa
Zip
50702-5619
Phone Number
319-272-8550
Fax Number
319-272-8558
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
32236 (Iowa)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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