Vitae Family Care Clinic, L.L.C.
Family Medicine in West Des Moines, IA. Organization (NPI-2).
NPI number1386909331
StatusActive
Last updated in NPPESJul 6, 2012
Details
- NPI
- 1386909331
- Entity type
- Organization (NPI-2)
- Legal business name
- Vitae Family Care Clinic, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2012
- Last updated
- Jul 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 02827 | IA | Yes |
Practice location
1355 50th StSuite 100
West Des Moines, IA 50266-1617
Phone 515-225-3261 · Fax 515-225-1944
Mailing address
1355 50th StSuite 100
West Des Moines, IA 50266-1617
Phone 515-225-3261 · Fax 515-225-1944
Authorized official
Gregory Carter McKernan
Physician/Manager/Member
6412033548
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