OrganizationActive
Prairie Pediatrics, PC
NPI 1306920319 · Pediatric Cardiology Physician · Sioux City, IA
Provider details
- NPI number
- 1306920319
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melanie Olsen, Business Manager(712) 255-8901
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1125 Pierce St
Sioux City, IA 51105-1485
Phone: (712) 255-8901
Fax: (712) 255-9161
Approximate (ZIP-level) locationGet directions
Mailing address
1125 Pierce St
Sioux City, IA 51105-1485
Other names (DBA / former)
- Doing business as
- Prairie Pediatrics & Adolescent Clinic, PC
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2015-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.