| NPI | 1710903364 |
|---|---|
| Doing Business As | MERCYONE BEAVERDALE FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHARON PHILLIPS Chief Operating Officer 515-358-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-04-08 |