Organization
SEQUOIA MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY NEPHEW (OWNER)
(920) 579-1027
Entity
Organization
Contact information
Practice address
770 TANGLEFOOT LN # 3256, BETTENDORF, IA 52722-1608
(920) 579-1027
Mailing address
512 8TH AVE, CLARENCE, IA 52216-9419
(814) 243-0414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
07/28/2023
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