# IOWA MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205419405
- **Authorized official:** AMY GUIDRY APRN (FNP-BC)
- **Authorized official phone:** (337) 358-2601

## Contact information

- **Practice address:** 621 E MILLER AVE, IOWA, LA 70647-4008
- **Practice address phone:** (337) 302-7955
- **Mailing address:** 621 E MILLER AVE, IOWA, LA 70647-4008
- **Mailing address phone:** (337) 302-7955

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 07/13/2021