NPI 1235475088

New Leaf Wellness

Organisation General Practice Physician Clive, IA

Practice location

Address: 12129 University Ave STE 1500, Clive, IA 50325-8287
Phone: (515) 657-6210
Fax: (515) 657-6208

Authorised official

Name: Art Mattson
Title: Management
Phone: (931) 252-2932

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01554 (IA)

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Registry record

NPI: 1235475088
Entity type: Organization
NPI issued: 26 Dec 2012
Record last updated: 26 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.