| NPI | 1366497257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOUISE DONAHUE President And CEO 515-237-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-06-11 |