| NPI | 1124089347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN BOGS Executive Assistant 319-339-3540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-05-11 |