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 |