| NPI | 1427337849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL C JOHNSON Physician 563-355-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 02790) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2012-08-29 |