| NPI | 1114238995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WHIPPLE COO 515-358-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2024-10-11 |