| NPI | 1740406776 |
|---|---|
| Other Name | HOSP / PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | SUSAN P HENDERSON Admin. Special Projects 641-872-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-11-08 |