NPI | 1043254055 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA YOUNG Administrator 641-494-5411 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
207RG0100X Internal Medicine, Gastroenterology | |
207X00000X Orthopaedic Surgery | |
208200000X Plastic Surgery | |
2084N0400X Psychiatry & Neurology, Neurology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2085R0202X Radiology, Diagnostic Radiology | |
208600000X Surgery | |
208800000X Urology | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
213E00000X Podiatrist | |
225X00000X Occupational Therapist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-07-15 |