Doctorsnow Doral Llc | |
5731 Greendale Rd Suite 100 Johnston IA 50131-1593 | |
(515) 270-1000 | |
Not Available |
Full Name | Doctorsnow Doral Llc |
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Speciality | General Practice |
Location | 5731 Greendale Rd, Johnston, Iowa |
Authorized Official Name and Position | Heather Renee Bucklin (CLINIC ADMINSTRATOR) |
Authorized Official Contact | 5152701000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doctorsnow Doral Llc 3650 Nw 82nd Ave Suite 103 Doral FL 33166-6658 Ph: (515) 270-1000 | Doctorsnow Doral Llc 5731 Greendale Rd Suite 100 Johnston IA 50131-1593 Ph: (515) 270-1000 |
NPI Number | 1932346079 |
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Provider Enumeration Date | 01/12/2009 |
Last Update Date | 01/12/2009 |
Identifier | Type | State | Issuer |
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1932346079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | ACN193 (Florida) | Primary |
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