| NPI | 1043440803 |
|---|---|
| Doing Business As | MERCY PRAIRIE TRAIL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRADLEY WHIPPLE Chief Operating Officer 515-358-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-10-10 |