| NPI | 1144366469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MURPHY Office Manager 515-440-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA 3081) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IA 3081) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |