| NPI | 1295989077 |
|---|---|
| Other Name | RCDC SURPRISE |
| Entity Type | Organization |
| Authorized Contact | CHARLES LOVE Medical Director 515-226-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ RN114597) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |