NPI | 1619259876 |
---|---|
Doing Business As | MERCY KHAN FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | DAVID VELLINGA Pres/CEO 515-247-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2011-09-14 |
Last Update Date | 2011-09-28 |