Basic Information
| Provider Information | |||||||||
| NPI: | 1922098482 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCQUEEN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | R. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1214 SOUTH GRANT ROAD | ||||||||
| Address2: | MCFARLAND CLINIC PC | ||||||||
| City: | CARROLL | ||||||||
| State: | IA | ||||||||
| PostalCode: | 514013047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7127921500 | ||||||||
| FaxNumber: | 7127927597 | ||||||||
| Practice Location | |||||||||
| Address1: | 1214 SOUTH GRANT ROAD | ||||||||
| Address2: | MCFARLAND CLINIC PC | ||||||||
| City: | CARROLL | ||||||||
| State: | IA | ||||||||
| PostalCode: | 514013047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7127921500 | ||||||||
| FaxNumber: | 7127927597 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2005 | ||||||||
| LastUpdateDate: | 11/16/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 01632 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 3174466 | 05 | IA | MEDICAID |