| NPI | 1568868172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOYRA BETUZZI-TEAS Agent 515-450-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2014-11-08 |