Organization
MOUNT VERNON FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA B B AXDAHL (ADMINISTRATOR)
(712) 253-5291
Entity
Organization
Contact information
Practice address
107 1ST ST NE, MOUNT VERNON, IA 52314-1422
(319) 361-5815
Mailing address
107 1ST ST NE, MOUNT VERNON, IA 52314-1422
(319) 895-1620
(319) 895-1250
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
09/05/2024
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