# SEQUOIA MEDICAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1386357432
- **Authorized official:** KELLY NEPHEW (OWNER)
- **Authorized official phone:** (920) 579-1027

## Contact information

- **Practice address:** 770 TANGLEFOOT LN \# 3256, BETTENDORF, IA 52722-1608
- **Practice address phone:** (920) 579-1027
- **Mailing address:** 512 8TH AVE, CLARENCE, IA 52216-9419
- **Mailing address phone:** (814) 243-0414

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2023
- **Last updated:** 07/28/2023