Provider Demographics
NPI:1649394503
Name:DOCTORSNOW WALK-IN CARE, LC
Entity Type:Organization
Organization Name:DOCTORSNOW WALK-IN CARE, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:STILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-270-1000
Mailing Address - Street 1:5731 GREENDALE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1593
Mailing Address - Country:US
Mailing Address - Phone:515-270-1000
Mailing Address - Fax:515-331-6581
Practice Address - Street 1:3770 8TH ST SW STE B
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009
Practice Address - Country:US
Practice Address - Phone:515-645-9905
Practice Address - Fax:515-967-5581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty