NPI | 1588840466 |
---|---|
Doing Business As | ELLSWORTH FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DOUGLAS EUGENE MORSE CEO 641-648-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IA 18633) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A1221491) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2020-12-03 |