| NPI | 1366648891 |
|---|---|
| Doing Business As | MERCY CARE JOHNSON AVE |
| Entity Type | Organization |
| Authorized Contact | ANNETTE J STANTON Sr Director 319-369-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2011-02-01 |