Organization
FAMILY PRACTICE OF WASHINGTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G. DAVID NACOS M.D. (PRESIDENT)
(319) 653-7291
Entity
Organization
Contact information
Practice address
420 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-7291
(319) 653-7440
Mailing address
420 E POLK ST, WASHINGTON, IA 52353-1237
(319) 653-7291
(319) 653-7440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296798
—
IA
01
—
29679
WELLMARK BCBS OF IA
IA
Enumeration date
02/28/2007
Last updated
07/21/2022
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