| NPI | 1427137520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CAMPBELL Billing Manager 515-289-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 3343) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-27 |