Healthcare Provider Details

I. General information

NPI: 1528149457
Provider Name (Legal Business Name): MCFARLAND CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 STORY ST
BOONE IA
50036-2834
US

IV. Provider business mailing address

718 STORY ST
BOONE IA
50036-2834
US

V. Phone/Fax

Practice location:
  • Phone: 515-432-2020
  • Fax: 515-432-8482
Mailing address:
  • Phone: 515-432-2020
  • Fax: 515-432-8482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JEB O. LEE
Title or Position: EXEC DIR CLINICAL OPERATIONS
Credential:
Phone: 515-663-8663