| NPI | 1598779357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SIMONIN CEO 515-532-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IA 990177H) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-12-18 |