| NPI | 1740213206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN BOGS Executive Assistant 319-339-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-05-11 |