NPI | 1487731402 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD DARRELL LOUVAR President 319-395-7878 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 01483) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-04-20 |