| NPI | 1346356466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODUAH DANIEL OSARO President 563-241-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 202C00000X Independent Medical Examiner (Licence: IA 31351) | |
| 202C00000X Independent Medical Examiner | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IA 31351) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-02-10 |