| NPI | 1528789344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIAH FITZSIMMONS Owner 515-422-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |