| 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 |