NPI 1376539601 · live from the CMS NPI Registry
Mary S Larew, MD
Pediatrics in Iowa City, IA. National Provider Identifier 1376539601, active.
NPI record
| NPI | 1376539601 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 200 Hawkins Dr, Iowa City, IA 52242 |
| Practice phone | 319-384-9506 |
| Enumerated | September 22, 2005 |
| Last updated | September 27, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | 21717 (IA) |
| Pediatrics, Adolescent Medicine | 2080A0000X | 21717 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.