NPI | 1215979919 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL PEASLEY Physician 319-758-9075 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 03066) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-03-17 |