Organization
NEUROPSYCHIATRIC MEDICINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA E NNANJI MD (OWNER)
(319) 217-2566
Entity
Organization
Contact information
Practice address
511 S 3RD ST, CLINTON, IA 52732-4357
(319) 217-2566
Mailing address
PO BOX 321, CLINTON, IA 52733-0321
(319) 217-2566
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
27692
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27692
IOWA LICENSE
ID
Enumeration date
08/26/2010
Last updated
08/26/2010
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