Organization
MOFLE FAMILY CARE CLINIC, P.C.
Active
Other names
Mofle Family Care Clinic, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MICHELLE MOFLE M.D. (PHYSICIAN)
(515) 832-7724
Entity
Organization
Contact information
Practice address
1505 LYNX AVENUE, WEBSTER CITY, IA 50595
(515) 606-4551
(515) 606-4946
Mailing address
P.O. BOX 631, WEBSTER CITY, IA 50595
(515) 606-4561
(515) 606-4946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31043
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710961511
NPI PHYSICIAN
IA
05
—
5526012
—
IA
Enumeration date
01/08/2007
Last updated
06/15/2011
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