NPI | 1417044645 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L BENDER Medical Director 515-224-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IA 22610) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2006-10-09 |
Last Update Date | 2011-10-04 |