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FELIPE COSCOLLUELA JAVIER MD

Allergy and Immunology

Waterloo, Iowa

Provider NPI: 1003819624

Provider Information:
 FELIPE COSCOLLUELA JAVIER MD


Practice Location:
2710 SAINT FRANCIS DR STE 411  WATERLOO, IA 50702 US
Tel: 319-272-5000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
IL036-100466
N208000000XPhysicians
Pediatrics
IL036-100466
N208000000XPhysicians
Pediatrics
IA32545
Y207K00000XPhysicians
Allergy & Immunology
IA32545

Other Provider Identifiers:

IssuerNumberStateType
JOHN DEERE4215275840801
BLUE CROSS BLUE SHIELD3362801
203896410MO05
TRI-CARE GROUP NUMBER42152758401
O278374IA05
421527584003IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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