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2701 23rd Ave Council Bluffs IA 51501-6958 | |
| (402) 319-9405 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2701 23rd Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Michael Slice (VICE PRESIDENT) |
| Authorized Official Contact | 6232772351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
25500 N Norterra Dr Phoenix AZ 85085-8200 Ph: (877) 733-1710 | 2701 23rd Ave Council Bluffs IA 51501-6958 Ph: (402) 319-9405 |
| NPI Number | 1699040956 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699040956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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