Mantality Iowa LLC

NPI #1942717681 in North Liberty, Iowa

Provider Information

NPI Number: 1942717681
Entity Type: Organization
Organization Name: Mantality Iowa LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 3, 2018
Last Updated: Jan 3, 2018

Practice Location

Address: 595 ASHLEY CT STE 5
City: North Liberty
State: Iowa
ZIP Code: 52317-4758
Phone: (314) 254-2420

Authorized Official

Name: KEVIN J MEURET
Title: OWNER
Phone: (314) 254-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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