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Organization
EXIRA FAMILY MEDICINE CLINIC, LLC
Active
Organization
EXIRA FAMILY MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA C SHAFFER DO (OWNER)
(712) 268-5348
Entity
Organization
Contact information
Practice address
107 S JEFFERSON ST, EXIRA, IA 50076-7726
(712) 268-5348
(712) 268-2145
Mailing address
107 S JEFFERSON ST, PO BOX 87, EXIRA, IA 50076-7726
(712) 268-5348
(712) 268-2145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02167
IA
Other
Enumeration date
06/20/2007
Last updated
02/01/2008
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