| NPI | 1093720708 |
|---|---|
| Doing Business As | MERCYONE CLEAR LAKE PEDIATRIC & ADOLESCENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK C TRAMMEL VP Finanace 641-428-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-10-18 |