| NPI | 1356971121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MATTHEW SHELMAN CEO 319-759-4346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |