| NPI | 1306244934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LINN SPENCER Physician Assistant 515-292-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001669) |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2022-11-28 |