Organization
NOVA INTEGRATED HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR VANDEN WYNBOOM DC (OWNER, CEO)
(515) 289-4549
Entity
Organization
Contact information
Practice address
2675 N ANKENY BLVD STE 113, ANKENY, IA 50023-4719
(515) 289-4549
Mailing address
1103 RIDGETOP DR, HUXLEY, IA 50124-4704
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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