Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD-37436 | IA |
N | 208200000X | Surgeon | 37436 | IA |
N | 208600000X | Surgeon | 37436 | IA |
NPI | 1174623599 |
---|---|
Provider Name | Dr. Alan Irwin Reed |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 14/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70339 | WELLMARK BCBS (01) | IA |
E77171 | (02) | FL |