Iowa Physicians Clinic Medical Foundation

NPI #1780610055 in Geneseo, Illinois

Provider Information

NPI Number
1780610055
Entity Type
Organization
Organization Name
Iowa Physicians Clinic Medical Foundation
Subpart
Yes (part of a larger organization)
Parent Organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 25, 2006
Last Updated
Dec 13, 2012

Practice Location

Address
600 N COLLEGE AVE
Address 2
STE 120
ZIP Code
61254-1092
Phone
(309) 944-5342

Authorized Official

Name
ERICK J LAINE
Title
COO
Phone
(515) 471-9227

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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