| Graceland University Sm | |
|
1 University Pl Lamoni IA 50140-1641 | |
| (641) 784-5000 | |
| Not Available |
| Full Name | Graceland University Sm |
|---|---|
| Speciality | General Practice |
| Location | 1 University Pl, Lamoni, Iowa |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceland University Sm 5050 Spring Valley Rd. Dallas TX 75244-3909 Ph: () - | Graceland University Sm 1 University Pl Lamoni IA 50140-1641 Ph: (641) 784-5000 |
| NPI Number | 1609323245 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609323245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 02206 (Iowa) | Primary |
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