# EXIRA FAMILY MEDICINE CLINIC, LLC

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

## Provider details

- **NPI number:** 1538364310
- **Authorized official:** DANA C SHAFFER DO (OWNER)
- **Authorized official phone:** (712) 268-5348

## Contact information

- **Practice address:** 107 S JEFFERSON ST, EXIRA, IA 50076-7726
- **Practice address phone:** (712) 268-5348
- **Practice address fax:** (712) 268-2145
- **Mailing address:** 107 S JEFFERSON ST, PO BOX 87, EXIRA, IA 50076-7726
- **Mailing address phone:** (712) 268-5348
- **Mailing address fax:** (712) 268-2145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02167 | IA | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 02/01/2008