DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NEW LEAF WELLNESS

MEDICARE: NEW LEAF WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician01554IA

General Provider Information

NPI Number : 1235475088
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW LEAF WELLNESS
Provider Business Mailing Address
First Line : 12129 UNIVERSITY AVE STE 1500
Second Line :
City : CLIVE
State : IA
Zip : 50325-8287
Country : US
Telephone Number : 515-657-6210
Fax Number : 515-657-6208
Provider Business Practice Location Address
First Line : 12129 UNIVERSITY AVE STE 1500
Second Line :
City : CLIVE
State : IA
Zip : 50325-8287
Country : US
Telephone Number : 515-657-6210
Fax Number : 515-657-6208
Authorized Official
Title or Position : MANAGEMENT
Name : ART MATTSON
Credential :
Telephone Number : 931-252-2932
Provider Enumeration Date : 12/26/2012
Last Update Date : 12/26/2012

Similar Medicare Providers

1689210155 — UROLOGY CENTER OF IOWA PLLC
Practice Location Address:
12129 UNIVERSITY AVE
CLIVE, IA
50325-8287
Practice Phone: 515-400-3550
Practice Fax:
1639130057 — MR. MARC JAMES GOEDERS PA
Practice Location Address:
12129 UNIVERSITY AVE STE 100
CLIVE, IA
50325-8287
Practice Phone: 515-400-3550
Practice Fax:
1033230560 — DR. STEPHANIE LYNN COURSON POTHOVEN DO
Practice Location Address:
12129 UNIVERSITY AVE STE 100
CLIVE, IA
50325-8287
Practice Phone: 515-400-3550
Practice Fax: 515-400-3551
1336358324 — DR. BRIAN L GALLAGHER M.D.
Practice Location Address:
12129 UNIVERSITY AVE STE 100
CLIVE, IA
50325-8287
Practice Phone: 515-400-3550
Practice Fax: 515-400-3551
1215178371 — MS. RHONDA KAY KRAUS CSFA
Practice Location Address:
12129 UNIVERSITY AVE STE 100
CLIVE, IA
50325-8287
Practice Phone: 515-400-3550
Practice Fax:
1609294305 — RYAN DORNBIER
Practice Location Address:
12129 UNIVERSITY AVE STE 100
CLIVE, IA
50325-8287
Practice Phone: 515-400-3550
Practice Fax: 515-400-3551

Directions to “NEW LEAF WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.