Organization · Type 2 NPI
West Broadway Clinic, P.c.
Medical Physician Assistant · Council Bluffs, IA
NPI number
1457742587
Active
Practice location
1701 W Broadway
Council Bluffs, IA 51501-3822
Fax (712) 256-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 076849 (IA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Council Bluffs
About NPI 1457742587
West Broadway Clinic, P.c.'s National Provider Identifier is 1457742587, issued on Feb 11, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Council Bluffs, IA. The record was last updated on Feb 16, 2015.