| NPI | 1548452287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S GERHART Md President Of The Corporation 515-964-7965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 20200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 02946) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-10-02 |