| NPI | 1154375731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERON QUENTIN JAMESON President And CEO 319-752-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-10-19 |