| NPI | 1467010736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L CHARLES President And CEO 319-398-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-11 |