Preventative Health Clinic INC

NPI #1922279439 in Clive, Iowa

Provider Information

NPI Number: 1922279439
Entity Type: Organization
Organization Name: Preventative Health Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 13, 2008
Last Updated: Dec 2, 2008

Practice Location

Address: 2480 BERKSHIRE PKWY
City: Clive
State: Iowa
ZIP Code: 50325-4678
Phone: (515) 225-2578

Authorized Official

Name: ANGELIA RENEE WHETRO, DO
Title: MED DIRECTOR
Phone: (515) 225-2578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Chiropractor	111N00000X
Family Medicine	207Q00000X	Primary

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