| NPI | 1477277119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN HALVERSON Partner 515-655-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-09-25 |