| NPI | 1023237914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROGER BOULDEN President 515-440-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 19337) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2009-11-30 |