NPI | 1235267527 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA KAY GREINER Clinic Manager 319-653-6601 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-03-01 |
Last Update Date | 2025-09-11 |