Basic Information
| Provider Information | |||||||||
| NPI: | 1740264407 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOGGE | ||||||||
| FirstName: | NORMA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2375 186TH ST | ||||||||
| Address2: | STE Q | ||||||||
| City: | MARSHALLTOWN | ||||||||
| State: | IA | ||||||||
| PostalCode: | 501588860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6417536560 | ||||||||
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| Practice Location | |||||||||
| Address1: | 105 CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | CONRAD | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6413662123 | ||||||||
| FaxNumber: | 6413662143 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 741 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.