| NPI | 1740329580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SIMONIN Administrator 515-532-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA 990177H) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-12-18 |