| 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 |