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:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	IL	036-100466
N	208000000X	Physicians Pediatrics	IL	036-100466
N	208000000X	Physicians Pediatrics	IA	32545
Y	207K00000X	Physicians Allergy & Immunology	IA	32545

Other Provider Identifiers:

Issuer	Number	State	Type
JOHN DEERE	42152758408		01
BLUE CROSS BLUE SHIELD	33628		01
	203896410	MO	05
TRI-CARE GROUP NUMBER	421527584		01
	O278374	IA	05
	421527584003	IL	05

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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