Organization
VITAE FAMILY CARE CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CARTER MCKERNAN D.O. (PHYSICIAN/MANAGER/MEMBER)
(641) 203-3548
Entity
Organization
Contact information
Practice address
1355 50TH ST, SUITE 100, WEST DES MOINES, IA 50266-1617
(515) 225-3261
(515) 225-1944
Mailing address
1355 50TH ST, SUITE 100, WEST DES MOINES, IA 50266-1617
(515) 225-3261
(515) 225-1944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02827
IA
Other
Enumeration date
07/05/2012
Last updated
07/06/2012
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