NPI | 1588332977 |
---|---|
Entity Type | Organization |
Authorized Contact | KATY HEGG Office Manager 563-551-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2021-09-01 |
Last Update Date | 2021-11-18 |