| NPI | 1215920020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A CLAWSON Office Manager 641-752-7191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-09-24 |