| NPI | 1073552428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE JOHNSON Director Of Administration 515-513-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2025-11-13 |