Creston Medical Clinic, P.c.

NPI #1740232842 in Creston, Iowa

Provider Information

NPI Number
1740232842
Entity Type
Organization
Organization Name
Creston Medical Clinic, P.c.
Primary Specialty
Family Medicine
Enumeration Date
May 17, 2006
Last Updated
Oct 2, 2007

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Surgery
Family Medicine

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