# COLFAX MEDICAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1356764294
- **Authorized official:** GREGORY INGLE D.O. (PRESIDENT)
- **Authorized official phone:** (515) 994-2617

## Contact information

- **Practice address:** 107 N WALNUT ST, COLFAX, IA 50054-1039
- **Practice address phone:** (515) 994-2617
- **Mailing address:** PO BOX 639, PRAIRIE CITY, IA 50228-0639
- **Mailing address phone:** (515) 994-2617

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 01/29/2014