NPI | 1467666172 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA L STEWART Billing Office Coordinator 712-732-5030 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 23567) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-12-16 |