NPI | 1194745752 |
---|---|
Doing Business As | MERCYONE EAST VILLAGE FAMILY MEDICINE CLINIC |
Doing Business As | MERCYONE EAST VILLAGE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | BRADLEY WHIPPLE COO 515-358-6956 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 133V00000X Dietitian, Registered |
207R00000X Internal Medicine | |
2080A0000X Pediatrics, Adolescent Medicine | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2024-10-11 |