| NPI | 1285913335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. TAEGER President 319-572-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 171W00000X Contractor (Licence: IA urgentcare) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2022-07-21 |