| NPI | 1053312603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOREEN KAY LEMASTER RAYL Practice Manager 515-223-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 193400000X) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |