Organization
CITY OF COUNCIL BLUFFS
Active
Organization
CITY OF COUNCIL BLUFFS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONN DIERKS (DIRECTOR)
(712) 328-4666
Entity
Organization
Contact information
Practice address
209 PEARL ST, COUNCIL BLUFFS, IA 51503-0826
(712) 328-4666
(712) 328-4917
Mailing address
209 PEARL ST, COUNCIL BLUFFS, IA 51503-0826
(712) 328-4666
(712) 328-4917
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
02/12/2013
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