NPI | 1447290705 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS R CARNEY Chief Financial Officer 515-235-0420 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 01898) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F077772) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2009-09-09 |