| NPI | 1366882300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA STANICA Pediatrician 319-464-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IA 39479) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |