| NPI | 1497366231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J ADAMS Billing Supervisor 319-850-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2085R0202X Radiology Diagnostic Radiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-02-07 |