| NPI | 1235929225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER L CARLSTONE Owner 641-255-2688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-08-28 |