Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 23986 | IA |
Y | 207VE0102X | Reproductive Endocrinologist | 23986 | IA |
NPI | 1548254741 |
---|---|
Provider Name | Craig H Syrop |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0238022 | (05) | IA |
23802 | WELLMARK BCBS (01) | IA |
A02997 | (02) |