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Organization
CONVENIENT CARE MEDICAL GROUP, PLLC
Active
Organization
CONVENIENT CARE MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT ALLEN SCHMIDT PA-C (PHYSICAIN ASSISTANT/MANAGER)
(712) 256-7172
Entity
Organization
Contact information
Practice address
3502 METRO DRIVE, SUITE 200, COUNCIL BLUFFS, IA 51501-7724
(712) 256-7172
(712) 256-7374
Mailing address
3502 METRO DRIVE, SUITE 200, COUNCIL BLUFFS, IA 51501-7724
(712) 256-7172
(712) 256-7374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002355
IA
363L00000X
Nurse Practitioner
A121973
IA
Other
Enumeration date
07/15/2015
Last updated
10/02/2015
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