| NPI | 1093945784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JO MAHONEY Office Manager 319-286-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 31181) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 31181) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 104824) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 78725) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 104824) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 78725) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-10-22 |