| NPI | 1740579101 |
|---|---|
| Doing Business As | POLK COUNTY HEALTH DEPARTMENT - FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD R KOZIN Director 515-286-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2015-02-25 |