| NPI | 1053772202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN GERBER Owner Physician 319-677-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 38644) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-03-17 |