PROACTIVE MD IA PC is a primary care clinic center in Sergeant Bluff, IA. PROACTIVE MD IA PC NPI is 1922777465. The provider is registered as an organization entity type.
The provider's business location address is:
1182 260TH ST
SERGEANT BLUFF, IA
ZIP 51054-739
Phone: (712) 317-1130
The provider's authorized official is Jan Hopkins .
The authorized official title is Assoc. Operations Manager and has the following contact phone number (864) 501-0751.
The CLIA number assigned to this NPI record is 16D2235485 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/8/2021 and was last updated on 9/8/2021.