| NPI | 1417629338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY ANN SLIFKA Operations Associate 319-654-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-10-12 |