NPI | 1629120977 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL STEVEN BARGER President 515-993-1099 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |