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2323 W Broadway Council Bluffs IA 51501-3602 | |
| (800) 253-4368 | |
| (712) 256-3456 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2323 W Broadway, Council Bluffs, Iowa |
| Authorized Official Name and Position | Keith Jankuski (COO) |
| Authorized Official Contact | 4023434409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7261 Mercy Rd Omaha NE 68124-2311 Ph: (140) 239-86255 | 2323 W Broadway Council Bluffs IA 51501-3602 Ph: (800) 253-4368 |
| NPI Number | 1083139224 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 11/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083139224 | NPI | - | NPPES |
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