| Live Young Medical Llc | |
|
112 Gaul Dr Sergeant Bluff IA 51054-8963 | |
| (402) 681-8662 | |
| Not Available |
| Full Name | Live Young Medical Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 112 Gaul Dr, Sergeant Bluff, Iowa |
| Authorized Official Name and Position | Matthew James Bonham (V.P OPERATIONS) |
| Authorized Official Contact | 4026814829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Young Medical Llc 112 Gaul Dr Sergeant Bluff IA 51054-8963 Ph: (402) 681-8662 | Live Young Medical Llc 112 Gaul Dr Sergeant Bluff IA 51054-8963 Ph: (402) 681-8662 |
| NPI Number | 1306684295 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306684295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Proactive Md Ia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1182 260th St, Sergeant Bluff, IA 51054 Phone: 712-317-1130 |