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
320 EBAUGH STREET, GLENWOOD, IA 51534
(712) 527-5204
(712) 527-9346
Mailing address
8601 WEST DODGE ROAD, SUITE # 216, OMAHA, NE 68114
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
10/07/2014
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