| NPI | 1255500781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A SIMPSON Medical Director 319-321-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IA NA) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2021-05-27 |