Country Clinic Medical Services INC

NPI #1396890158 in Waukee, Iowa

Provider Information

NPI Number: 1396890158
Entity Type: Organization
Organization Name: Country Clinic Medical Services INC
Primary Specialty: Family Medicine
Enumeration Date: Jan 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 120 NE DARTMOOR DR
City: Waukee
State: Iowa
ZIP Code: 50263-9660
Phone: (515) 987-3117

Authorized Official

Name: DR. KIM K COUNTRYMAN, D.O.
Title: OWNER
Phone: (515) 987-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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