| NPI | 1396771622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD VERLIN FLATT Physician/Owner 515-262-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 01819) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-11-23 |