| 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 |