NPI | 1093795411 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT H MAJOR Physician 515-226-0112 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 3475) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 25404) |
207Q00000X Family Medicine (Licence: IA 001418) | |
Enumeration Date | 2006-01-20 |
Last Update Date | 2011-08-02 |