Organization
GREGORY L. INGLE, D.O., P.C
Active
Other names
Prairie City Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LEE INGLE D.O. (PRESIDENT)
(515) 994-2617
Entity
Organization
Contact information
Practice address
100 E JEFFERSON ST., PRAIRIE CITY, IA 50228
(515) 994-2617
(515) 994-2365
Mailing address
PO BOX 430, PRAIRIE CITY, IA 50228-0430
(515) 994-2617
(515) 994-2365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283655
—
IA
Enumeration date
10/05/2005
Last updated
08/22/2020
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