NPI | 1356378772 |
---|---|
Entity Type | Organization |
Authorized Contact | BASIL SAADI HASSAN President/CEO 515-457-8517 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 35490) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2020-08-22 |