| NPI | 1508114992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMAS BOZEK Owner/Manager/Provider 319-341-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 21179) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-10-01 |