| NPI | 1528248861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE MARIA KONTOS Physician/Owner 319-235-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 02475) |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2009-02-02 |