| NPI | 1326078130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN D BRODALE President 641-664-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 3485) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA 3485) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-05-21 |