| NPI | 1619030467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLYDE JOHNS Owner 319-364-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IA 24119) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-02-22 |