# DEER CREEK HEALTH CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deer Creek Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134177629
- **Authorized official:** TERRY PROTEXTOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (319) 337-7642

## Contact information

- **Practice address:** 401 1ST AVE, TOLEDO, IA 52342-2129
- **Practice address phone:** (641) 484-2602
- **Mailing address:** 2941 SIERRA CT SW, IOWA CITY, IA 52240-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 02/15/2008