| Crawford County Clinic PC | |
|
1820 Highway 30 East Denison IA 51442 | |
| (712) 263-6116 | |
| (712) 263-6115 |
| Full Name | Crawford County Clinic PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1820 Highway 30 East, Denison, Iowa |
| Authorized Official Name and Position | David M Tancreti (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 7122636116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crawford County Clinic PC 1820 Highway 30 East Denison IA 51442 Ph: (712) 263-6116 | Crawford County Clinic PC 1820 Highway 30 East Denison IA 51442 Ph: (712) 263-6116 |
| NPI Number | 1457305047 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457305047 | NPI | - | NPPES |
| 0222695 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Secondary |
| 207Q00000X | Family Medicine | (Iowa) | Primary |
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