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Organization
BFM KEOKUK CLINIC, LLC
Active
Organization
BFM KEOKUK CLINIC, LLC
Active
Other names
BFM DBA Keokuk Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MULLINS (MANAGER)
(319) 376-1149
Entity
Organization
Contact information
Practice address
1414 MAIN ST, KEOKUK, IA 52632-3926
(319) 376-1149
Mailing address
1414 MAIN ST, KEOKUK, IA 52632-3926
(319) 376-1149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/24/2015
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