| NPI | 1548808728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J SULLIVAN Director Of Business Development 515-241-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2022-10-13 |