# IOWA ADULT MEDICAL CLINIC, LLC

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

## Provider details

- **NPI number:** 1932540168
- **Authorized official:** DR. VINKO M BOGDANIC M.D. (OWNER)
- **Authorized official phone:** (319) 233-3044

## Contact information

- **Practice address:** 3741 PHEASANT LN, WATERLOO, IA 50701-5215
- **Practice address phone:** (319) 233-3611
- **Practice address fax:** (319) 233-0669
- **Mailing address:** PO BOX 2818, WATERLOO, IA 50704-2818
- **Mailing address phone:** (319) 233-3044
- **Mailing address fax:** (319) 233-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2013
- **Last updated:** 07/16/2013