NPI | 1427300623 |
---|---|
Doing Business As | CENTER STAGE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MALEA ANN JENSEN President 515-267-1961 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 03029) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2021-03-19 |