NPI | 1285742478 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAYTON A FRANCIS Owner/Provider 641-236-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 30077) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2007-10-12 |