Organization
PHYSICIANS CLINIC, INC.
Active
Parent organization
METHODIST HEALTH SYSTEM
Other names
Methodist Physicians Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST HEALTH SYSTEM
Authorized official
TODD D. GRAGES (PRESIDENT)
(402) 354-5609
Entity
Organization
Contact information
Practice address
201 RIDGE ST, STE. 311, COUNCIL BLUFFS, IA 51503-4643
(712) 396-4050
(712) 328-1911
Mailing address
8601 W DODGE RD STE 216, OMAHA, NE 68114-3495
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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