| NPI | 1649748708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P MULROONEY Board Of Managers Member 515-241-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-12-26 |