Neuropsychiatric Medicine Clinic Pllc | |
511 S 3rd St Clinton IA 52732-4357 | |
(319) 217-2566 | |
Not Available |
Full Name | Neuropsychiatric Medicine Clinic Pllc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 511 S 3rd St, Clinton, Iowa |
Authorized Official Name and Position | Joshua E Nnanji (OWNER) |
Authorized Official Contact | 3192172566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neuropsychiatric Medicine Clinic Pllc Po Box 321 Clinton IA 52733-0321 Ph: (319) 217-2566 | Neuropsychiatric Medicine Clinic Pllc 511 S 3rd St Clinton IA 52732-4357 Ph: (319) 217-2566 |
NPI Number | 1053627182 |
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Provider Enumeration Date | 08/26/2010 |
Last Update Date | 08/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053627182 | NPI | - | NPPES |
27692 | Other | ID | IOWA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 27692 (Iowa) | Primary |
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