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Organization
RIDGE FAMILY PRACTICE, P.C.
Active
Organization
RIDGE FAMILY PRACTICE, P.C.
Active
Other names
Ridge Family Practice, PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L LUND (OFFICE MANAGER)
(712) 322-5899
Entity
Organization
Contact information
Practice address
201 RIDGE ST, SUITE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5899
(712) 322-5730
Mailing address
201 RIDGE ST STE 311, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5899
(712) 322-5730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
02/21/2022
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