| NPI | 1538552914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C. PETERS Owner 319-665-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 35756) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-04-02 |