Proactive MD Ia PC
NPI #1922777465 in Sergeant Bluff, Iowa
Provider Information
- NPI Number
- 1922777465
- Entity Type
- Organization
- Organization Name
- Proactive MD Ia PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Apr 10, 2025
Practice Location
- Address
- 1182 260TH ST
- City
- Sergeant Bluff
- State
- Iowa
- ZIP Code
- 51054-7739
- Phone
- (712) 317-1130
Authorized Official
- Name
- MARK KEMBLE, MD
- Title
- CMO
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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