| NPI | 1518214204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY W. OVERTON Physician / President 515-327-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: IA 02075) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |