| NPI | 1295905099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ALTMAN President 712-323-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IA 19162) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |