| NPI | 1730503319 |
|---|---|
| Doing Business As | BOONE COUNTY FAMILY MEDICINE OGDEN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKAELA KIENITZ CEO 515-432-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2023-10-10 |