| NPI | 1548029390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ANN MACTAGGART Pediatric Nurse Practitioner 319-480-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-04-22 |