| NPI | 1740232842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MANSOUR President Of The Corporation 641-782-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-10-02 |