| NPI | 1114943628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WHIPPLE COO 515-358-6956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-10-11 |