Organization
THE GENESIS PROJECT, PLC
Active
Other names
Genesis Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ALLAN CONWAY M.D. (OWNER)
(319) 294-9890
Entity
Organization
Contact information
Practice address
1601 BOYSON SQUARE DR, SUITE B, HIAWATHA, IA 52233-2311
(319) 294-9890
(319) 294-9896
Mailing address
1601 BOYSON SQUARE DR, SUITE B, HIAWATHA, IA 52233-2311
(319) 294-9890
(319) 294-9896
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
27190
IA
261QU0200X
Urgent Care Clinic/Center
27190
IA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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