| NPI | 1649451451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LEROY PETERS President 515-795-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2023-10-05 |