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1083852248
VIJAYASIMHA REDDY POTHULA
WATERLOO, IA
NPI
1083852248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA 40239)
Enumeration Date
2009-01-27
Last Update Date
2012-06-26
Business Address
VIJAYASIMHA REDDY POTHULA MD
1825 LOGAN AVE
WATERLOO, IA 50703-1916
Phone number: 319-235-5386
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Mailing Address
VIJAYASIMHA REDDY POTHULA MD
4150 KIMBALL AVE PO BOX 2758
WATERLOO, IA 50701-9086
Phone number: 319-235-5390
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