Organization
PHYSICIANS CLINIC, INC.
Active
Organization
PHYSICIANS CLINIC, INC.
Active
Other names
Methodist Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD D. GRAGES (PRESIDENT)
(402) 354-5601
Entity
Organization
Contact information
Practice address
ONE EDMUNDSON PLACE, SUITE # 310, COUNCIL BLUFFS, IA 51503
(712) 396-4360
(712) 396-7069
Mailing address
8601 WEST DODGE ROAD, SUITE # 216, OMAHA, NE 68114
(402) 354-4822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
09/20/2007
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