Physician Management Services of Iowa, LLC

NPI #1063051183 in Johnston, Iowa

Provider Information

NPI Number: 1063051183
Entity Type: Organization
Organization Name: Physician Management Services of Iowa, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Jan 6, 2020
Last Updated: Jan 6, 2020

Practice Location

Address: 5501 NW 86TH ST STE 300
City: Johnston
State: Iowa
ZIP Code: 50131-1810
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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