| NPI | 1578803599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CIRKS VP/Secretary 515-368-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IA 007613) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |