Great River Medical Services
NPI #1417025230 in West Burlington, Iowa
Provider Information
- NPI Number
- 1417025230
- Entity Type
- Organization
- Organization Name
- Great River Medical Services
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 1201 W AGENCY RD
- City
- West Burlington
- State
- Iowa
- ZIP Code
- 52655-1645
- Phone
- (319) 754-4242
Authorized Official
- Name
- MR. ROBERT S POETTING
- Title
- ADMINISTRATOR
- Phone
- (319) 754-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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