NPI | 1548288160 |
---|---|
Doing Business As | COVENANT CLINIC |
Entity Type | Organization |
Authorized Contact | TIMOTHY HUBER Controller 319-272-7607 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 1878) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-10-10 |