NPI | 1942664602 |
---|---|
Doing Business As | BOONE COUNTY FAMILY MEDICINE NORTH WALK IN |
Entity Type | Organization |
Authorized Contact | MIKAELA KIENITZ CEO 515-432-3140 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-03-09 |