NPI | 1164552576 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER JAMES RILEY President 515-244-9950 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IA 19292) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 010644) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |