Organization
CRAIN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAIN G CRAIN D.O. (OWNER)
(641) 464-3911
Entity
Organization
Contact information
Practice address
207 N TAYLOR ST, MOUNT AYR, IA 50854-1635
(641) 464-3911
Mailing address
207 N TAYLOR ST, MOUNT AYR, IA 50854-1635
(641) 464-3911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02084
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291450
—
IA
Enumeration date
01/14/2008
Last updated
01/15/2008
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