| NPI | 1356572358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALLAN CONWAY Owner 319-294-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IA 27190) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: IA 27190) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |