| 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 |