Organization
PRAIRIE CITY FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SYTSMA (ARNP)
(515) 249-5775
Entity
Organization
Contact information
Practice address
1316 JOSHUA CT SE, BONDURANT, IA 50035-4700
(515) 249-5775
Mailing address
1316 JOSHUA CT SE, BONDURANT, IA 50035-4700
(515) 249-5775
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A133377
IA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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