Organization
PREMIER HEALTHCARE OF SHENANDOAH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P MCCOY D.C. (PRESIDENT/OWNER)
(712) 246-5954
Entity
Organization
Contact information
Practice address
813 CHURCH ST, SHENANDOAH, IA 51601-2301
(712) 246-5954
(712) 246-3269
Mailing address
813 CHURCH ST, SHENANDOAH, IA 51601-2301
(712) 246-5954
(712) 246-3269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IA
Other
Enumeration date
06/05/2018
Last updated
08/23/2018
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