| NPI | 1265636773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL LEVETT Medical Director 319-558-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |