Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1033340146 |
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| LBN Legal business name | BLUFFS HEALTH CARE CLINIC | ||||
| Authorized official | STEPHEN VAN NOY - (PHYSICIAN ASSISTANT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/06/2009 | ||||
| Last updated | 08/06/2009 - About 17 years ago | ||||
| Identifiers |
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