| Organization Name: | NEW LEAF WELLNESS |
| NPI Number: | 1235475088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ART MATTSON (MANAGEMENT) |
| Mailing Address: | 12129 University Ave Ste 1500 Clive |
| State: | IA US |
| Postal Code: | 503258287 |
| Phone Number: | 5156576210 |
| Fax Number: | 5156576208 |
| NPI Enumeration Date: | 12/26/2012 |
| NPI Last Update Date: | 12/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |