Organization
CHEROKEE FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE ANN WOODALL ARNP (OWNER)
(712) 225-0191
Entity
Organization
Contact information
Practice address
213 N 2ND ST, CHEROKEE, IA 51012-1833
(712) 225-0191
(712) 225-0196
Mailing address
213 N 2ND ST, CHEROKEE, IA 51012-1833
(712) 225-0191
(712) 225-0196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291328
—
IA
Enumeration date
12/01/2005
Last updated
12/01/2014
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