Sac & Fox of the Miss in Iowa

NPI #1962618355 in Tama, Iowa

Provider Information

NPI Number
1962618355
Entity Type
Organization
Organization Name
Sac & Fox of the Miss in Iowa
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 15, 2007
Last Updated
Jul 15, 2014

Practice Location

Address
1646 305TH STREET
Address 2
STE A
City
Tama
State
Iowa
ZIP Code
52339-9634
Phone
(641) 484-4094

Authorized Official

Name
MIRZA GONZALES
Title
DIRECTOR ADMINISTRATIVE SERVICES
Phone
(641) 484-4094

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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