| NPI | 1063616720 |
|---|---|
| Doing Business As | THE PEDIATRIC & YOUNG ADULT CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKE A SMITHART Office Manager 641-673-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 24808) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-09-27 |