Live Young Medical LLC
NPI #1306684295 in Sergeant Bluff, Iowa
Provider Information
- NPI Number
- 1306684295
- Entity Type
- Organization
- Organization Name
- Live Young Medical LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 16, 2024
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 112 GAUL DR
- City
- Sergeant Bluff
- State
- Iowa
- ZIP Code
- 51054-8963
- Phone
- (402) 681-8662
Authorized Official
- Name
- MR. MATTHEW JAMES BONHAM
- Title
- V.P OPERATIONS
- Phone
- (402) 681-4829
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Nurse Practitioner - Family — Family |
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