Creston Medical Clinic, P.c.

NPI #1316991607 in Creston, Iowa

Provider Information

NPI Number
1316991607
Entity Type
Organization
Organization Name
Creston Medical Clinic, P.c.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
May 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1610 W TOWNLINE ST
Address 2
SUITE 200
State
Iowa
ZIP Code
50801-1066
Phone
(641) 782-2131

Authorized Official

Name
JAMES E MANSOUR, M.D.
Title
PRESIDENT OF THE CORPORATION
Phone
(641) 782-2131

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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