| NPI | 1700835865 |
|---|---|
| Doing Business As | CENTERVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH L FISHER CFO 319-384-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2009-07-07 |