| NPI | 1225989635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MATTHEW HUBBELL Board President 515-491-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-08-04 |