| NPI | 1336107283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SHEPHERD Billing Office Manager 515-226-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-11-04 |