| NPI | 1699880138 |
|---|---|
| Doing Business As | AFFILIATES OF FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KENNETH ALBERT CEARLOCK Partner Owner 319-364-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 22198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 34383) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |