Full Name | |
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Speciality | Family Medicine |
Location | 1550 6th St, Manning, Iowa |
Authorized Official Name and Position | John O'brien (CEO) |
Authorized Official Contact | 7126552072 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1550 6th St Manning IA 51455-1004 Ph: (712) 655-2072 | 1550 6th St Manning IA 51455-1004 Ph: (712) 655-2072 |
NPI Number | 1235432196 |
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Provider Enumeration Date | 12/15/2010 |
Last Update Date | 02/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235432196 | NPI | - | NPPES |