| NPI | 1386785293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN MITCHELL President 319-981-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 6916) |
| 363L00000X Nurse Practitioner (Licence: IA 110073) | |
| 207R00000X Internal Medicine (Licence: IA 27216) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-02-02 |