| 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 |