NPI | 1225433675 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES J PRUCHNO Owner / Provider 319-247-3899 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 27892) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |