NPI | 1992754220 |
---|---|
Doing Business As | INDIANOLA FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ERICK J LAINE COO 515-471-9227 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-05-05 |
Last Update Date | 2012-08-16 |