| NPI | 1578511069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDD KIPPER Director 319-369-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-03-17 |