Organization
CITY FAMILY CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHINWE NKEM EKWENA M.D. (PRESIDENT AND CEO)
(515) 276-8800
Entity
Organization
Contact information
Practice address
6401 DOUGLAS AVE, SUITE 10, DES MOINES, IA 50322-3350
(515) 276-8800
(515) 276-8810
Mailing address
6401 DOUGLAS AVE, SUITE 10, DES MOINES, IA 50322-3350
(515) 276-8800
(515) 276-8810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443960
—
IA
Enumeration date
05/18/2006
Last updated
10/24/2007
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