NPI | 1396890158 |
---|---|
Doing Business As | COUNTRY CLINIC |
Entity Type | Organization |
Authorized Contact | KIM K COUNTRYMAN Owner 515-987-3117 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 02312) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |