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Organization
PHYSICIANS CLINIC, INC.
Active
Organization
PHYSICIANS CLINIC, INC.
Active
Other names
Methodist Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD D. GRAGES (PRESIDENT)
(402) 354-5601
Entity
Organization
Contact information
Practice address
1400 SENATE AVE, SUITE # 105, RED OAK, IA 51566-1271
(712) 623-7250
(712) 623-7257
Mailing address
8601 W DODGE RD, SUITE # 216, OMAHA, NE 68114-3457
(402) 354-4822
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/10/2007
Last updated
08/22/2020
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