| NPI | 1174999700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS R HOISINGTON Chief Executive Officer 515-537-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-01-30 |