Great River Physicians and Clinics INC

NPI #1679613723 in Wapello, Iowa

Provider Information

NPI Number: 1679613723
Entity Type: Organization
Organization Name: Great River Physicians and Clinics INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 7, 2007
Last Updated: Feb 19, 2014

Practice Location

Address: 220 MULBERRY ST
City: Wapello
State: Iowa
ZIP Code: 52653-1570
Phone: (319) 768-4085

Authorized Official

Name: TONY HAYES
Title: EXECUTIVE VICE PRESIDENT
Phone: (319) 768-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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