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2575 N Ankeny Blvd Suite 201 Ankeny IA 50023-4708 | |
| (515) 963-1826 | |
| (515) 963-1827 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2575 N Ankeny Blvd, Ankeny, Iowa |
| Authorized Official Name and Position | Fred Charles Marsh (PRESIDENT) |
| Authorized Official Contact | 5159631826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2575 N Ankeny Blvd Suite 201 Ankeny IA 50023-4708 Ph: (515) 963-1826 | 2575 N Ankeny Blvd Suite 201 Ankeny IA 50023-4708 Ph: (515) 963-1826 |
| NPI Number | 1619148301 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619148301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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