| NPI | 1598429417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE M WILLIAMS Owner 515-967-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-01-05 |